BILLING COLLECTIONS SPECIALIST

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BILLING COLLECTIONS SPECIALIST

Department Patient Financial Services Location Carson City, NV, United States Schedule- Shift - Hours FT - DayShift Date Posted May 16, 2024

Description

Carson City, NV | Full Time US:NV:Carson City PATIENT ACCOUNTING

About Carson Tahoe Health

CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations.

Summary

Ensures the continuity and accuracy of claim submission through the patient accounts electronic billing and payment system. Maintains a working knowledge of business operating systems including electronic billing system and Receivables Work Station. C omplies with State & Federal regulations with regard to billing. Accumulates data relating to patient accounting billing processes in an effort to identify areas of opportunity and make recommendations

Responsibilities

Reviews and determines claims appropriate for electronic billing; submitting accurate claims daily through the electronic and payment applications based upon appropriate protocol and edits for payer. Processes all claim edits and deletions to ensure minimal volume of accounts are held for smooth cash flow. Reconciles and submits rejected claims within the same working day. Maintains failed claims daily by researching and resolving issues for clean submission. Demonstrates an understanding of Patient Accounts key performance indicators. Receives incoming telephone calls, providing requested information in a timely, courteous and professional manner. Monitors and works the claims on hold ensuring needed information is received from departments within 24 hours. Appropriately escalates any delays in receiving needed information. Monitors and submits special services billing per service/payer or regulatory guidelines. Adheres to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA)) as well as facility-specific guidelines. Performs complete follow-up on claims daily and monitors trends in payer performance, reporting such trends to Supervisor/Manager. C ollaborates with other departments within in the organization to obtain information relevant to successful collection of reimbursement for all accounts. Demonstrates thorough understanding of reimbursement as it relates to payer contracts. Performs other related duties as assigned.

Qualifications

Required High School diploma or equivalent. Two (2) years patient accounting and collection. C omputer literate with strong verbal and written communication skills. Preferred Three (3) years health care service experience. Acute care billing experience. Familiar with human anatomy and medical terminology.

Top 5 Reasons to Live in Carson City, Nevada

• Live, work and play in one of the most beautiful regions in the world
• Enjoy an array of outdoor activities world class skiing, golf, camping, mountain biking, hiking, water skiing, kayaking, hunting and fishing
• Just next door is Beautiful Lake Tahoe
• We are minutes from Reno known as the 'biggest little city in the world' - Fine dining, nightlife, shopping and home to the University of Nevada Reno.
• Family friendly atmosphere with affordable housing & excellent school system

Our Benefits

• No State Income Tax
• Medical, Dental, Vision, FSA, Telehealth
• Paid Time Off, Mental Health, and Volunteer Days
• 100% Vested 401K & Roth with Company Contribution
• Tuition Reimbursement
• Referral Bonuses
• On Site Education & Certification Programs
• Base Wage Increases for Relevant Advanced Degrees
• Free Calm App Subscription