Patient Accounting Specialist - PDN Staffing

Position Summary To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by providing superior quality, value and service by supporting the Health First Medical Equipment business office to ensure department accounts receivable goals are met through timely billing and collections. Primary Accountabilities Quality/No Harm Generates daily workflow for account representatives by obtaining all claims for processing through computer generated system downloads. Performs complex billing and account representative duties: reviews, verifies, edits and troubleshoots complex claim information prior to submission/transmission of claim; follows up and/or forwards to appropriate individual or department; updates claim information; submits and transmits claim; verifies confirmation received on transmitted claims; documents actions and findings. Performs complex collection duties: makes calls to responsible party to determine ability to pay account; establishes payment arrangements or offers financial assistance such as charity, Medicaid, government assistance; completes assistance application and reviews with established guidelines to approve or disapprove; follows up and/or forwards to appropriate individual or department; documents actions and findings. Performs complex account resolution duties: detects and corrects errors; performs contractual adjustments and write-offs; identifies payer specific edits and takes corrective action; researches payer issues and account problems and takes corrective action; has authority to negotiate payer issues according to patient business services policies. Ensures new staff is trained on departmental specific procedures which may include computer applications; ensures associates follow policies and understand regulatory procedures. Oversees and participates in ensuring all staff is following departmental guidelines and procedures; follows up and communicates with department supervisor regarding staff performance. Performs office support and other duties as assigned. Customer Experience Timely delivery of patient and registration paperwork and plate to the patient care areas. Provide registration and other job requirements to meet the patient/family needs. Maintain successful relations with other Patient Business Services areas, Health First associates and physician office staff. Recognizes and identifies trends and makes recommendations for corrective action. Stewardship Assist and participate in attaining Patient Business Services goals for Accounts Receivable, Cash and Bad Debt by collecting deductibles and co-pays from insured patients and deposits and/or payments for all self-pay patients. Assist in obtaining the PBS goal for Accounts Receivable days. Qualifications High School diploma required; college experience or Associate’s degree preferred. Three years’ experience in a health care facility. Thorough knowledge of computer applications used within the department. Advanced coding experience in ICD-9, CPT and HCPCS; coding certification preferred. Good understanding of medical terminology. Ability to articulate in a clear and concise manner. General understanding of accounting principles. Thorough knowledge of state and federal contracts and managed care. Thorough knowledge of government programs including Medicare, Medicaid and Tricare. Physical Demands Ability to sit at a computer terminal and telephone for extended periods of time. Ability to lift 40 pounds. Mental Demands Ability to remain calm during stressful situations. Ability to manage multiple priorities. Ability to work independently. Benefits Full‑Time Schedule: 8:30 am – 5:00 pm. Paygrade: PG‑PG‑PG‑PG‑26. Health First values diversity and inclusion. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. #J-18808-Ljbffr Health First