Financial Services Specialist

This is a full time position. Monday-Thursday 8:00 am-6:30 pm.

ESSENTIAL DUTIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative (but not all inclusive) of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

POSITION RESPONSIBILITIES

• Process and post checks
• Maintain accounts receivable database, including updating account information
• Enters data and reconciles the cash receipt log with payment posting totals
• Makes adjustments and corrections to patients accounts
• Investigate billing problems and formulates solutions, verifies and maintains adjustment/correction records
• Participate in educational activities
• Maintains strictest confidentiality
• Identifies delinquent accounts, aging period and payment source
• Reviews each account via computer, reports and other information sources
• Performs collections actions including contacting patients by telephone and resubmitting claims to third party

• Reviews accounts for possible assignment to collection agency, makes recommendations to Financial Department Supervisor and prepares information for collection agency
• Daily review tape and end of day reports
• Daily posts, corrects and applies patient and/or insurance payments, processes correspondence front third party payers
• Lists unidentified payments to correct accounts, documenting transactions to maintain adequate audit trail
• Resolves misdirected payments and returns incorrect payments to sender
• Copies any zero payments (denial) to appropriate financial service department specialist for follow-up
• Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely reporting on accounts
• Answers patients inquiries regarding account balances
• Prepares and processes credits and patient and insurance refunds
• Strong knowledge of CPT coding and ICD-9 coding. Understanding of what should be marked on an encounter form
• Ability to read and interpret and encounter form
• Strong data entry skills
• Ability to communicate with other staff members for necessary data and questions
• Responsible for day end reconciliation
• Excellent customer service skills for dealing with patients and co-workers. Ability to work closely with lead cashier
• Basic understanding of billing and managed care claim processing
• Accountable for daily balance
• Researches all information needed to complete billing process
• Records billing information for verification of claims processing
• Works with other staff to follow-up of accounts to work aged accounts
• Assists with coding and error resolution
• Assists with answering the telephone and provides information as requested without violation of HIPAA security rules
• Uses collection management reports to keep accounts receivable current
• Uses telephone, mail and other techniques to aid in collection of accounts receivable.
• Runs routine insurance claim forms and statements.
• Refers difficult collection problems to supervisor for further action
• Answers inquiries and correspondence from patients
• Identifies and resolves patient billing complaints
• Responsible for processing and filing primary and secondary claims
• Maintain office notes in data system for inquiries to patient account including inquires from third party payers
• Ability to interpret explanation of benefits from insurance payers.
• Obtains patient data to key charge information from hospital superbill that is completed by providers. Tracks admissions and discharges to hospital. Follow-up on missing encounters
• Compiles and distribute encounter visits weekly
• Verify accuracy of billing data and revise any errors
• Operate typing, adding, calculating and billing machines
• Prepares itemized statements, bills or invoices
• Records billing information for verification of claims processing
• Reviews documents such as charge slips or hospital records in order to key in charges
• Keeps records of invoices and support documents
• Maintains spreadsheet for tracking billing information
• Assists Customer Care Specialists with inquiries on errors and/or processes
• Assists with updates in current data base
• Process NSF checks and tracking
• Ability to work with internet payer sites