Patient Financial Support, Full Time - JR11-1

Job Description

Job Description

Patient Financial Support

At NFCH, our strength lies in our promise of “Your Health…Our Mission”, where we get to know our patients and residence, care for them, and ease their way. Working at our organization means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected.

We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. 

Essential Job Functions :

·         Prepares and submits accurate hospital claims to Medicare, Medicaid, and commercial payers.

·         Reviews patient accounts for completeness and accuracy prior to billing.

·         Ensures compliance with federal, state, and payer-specific billing regulations.

·         Posts payments and adjustments accurately to patient accounts.

·         Works claim edits and resolves billing rejections and denials in a timely manner.

·         Communicates with insurance companies regarding claim status, corrections, and appeals.

·         Assists patients with billing inquiries and provides excellent customer service.

·         Maintains confidentiality in accordance with HIPAA guidelines.

·         Collaborates with clinical and registration departments to ensure proper charge capture.

·         Assists with month-end reporting and revenue reconciliation as needed.

·         Posting charges daily for multiple departments.

·         Daily reviewing of a statement report in the RCM Software and either approving the statement, applying a needed adjustment or sending it through the RCM System to be reworked.

·         Performing billing functions at minimum three days a month while the Lead Billing Coordinator is Billing Long Term Care and when the Lead Billing Coordinator is out.

·         Performing cash management duties at least once monthly and covering that position when the Cash Manager is out.

·         Performing the balancing of Long Term Care accounts.

·         On a quarterly basis working with the HIM staff to correct and submit the ACHA report for inpatient and outpatient.

·         Completes assigned duties within required time frame, according to established schedules or workflow requirements.

·         Serves as resource to co-workers.

·         Must demonstrate dependable, regular attendance.

·         Supports and promotes the Mission, Vision, and Values; adheres to all hospital policies and procedures; commits to the Standards of Conduct; maintains professional appearance.

·         Other duties as assigned.

Minimum Qualifications :

·         High school diploma or GED required; Associate degree in Business, Healthcare Administration, or related field preferred.

·         Minimum of 2 years of medical billing experience and cash management, preferably in a hospital setting.

·         Knowledge of hospital billing procedures, insurance claims processing, and reimbursement guidelines.

·         Experience with Medicare, Medicaid, commercial insurance, and managed care billing.

·         Proficiency in electronic health records (EHR) and billing software systems.

·         Strong understanding of revenue cycle processes.

·         Excellent attention to detail and accuracy.

·         Strong organizational and time management skills.

·         Effective written and verbal communication skills.

Medical Specialty : N/A

Physical Setting : Office setting within a hospital environment.

Schedule :  Day shifts, Monday - Friday

Experience : Minimum of 2 years of medical billing experience, preferably in a hospital setting.

License/Certification Requirements : Billing or coding certification preferred. 

Physical Requirements : 

·         Prolonged periods of sitting and working at a computer.

·         Frequent use of standard office equipment (computer, phone, copier, scanner).

·         Occasional standing, walking, bending, and reaching.

·         May require interaction with patients, staff, and insurance representatives in person or by phone.

·         Must be able to lift up to 10–15 pounds (files, office supplies).

Work Remotely :  No

This description is intended to provide only basic guidelines for meeting job require­ments. Responsibilities, knowledge, skills, abilities, schedule and working conditions may change as needs evolve.

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year.