Job Posting
Patient Billing Specialist
We are actively searching for a PATIENT BILLING SPECIALIST to join our team.
Position Overview:
The role of an employee in this position is to ensure their company receives payments for goods and services, and records these transactions accordingly. In this position you will be responsible for calculating and collecting data, updating patient data, developing payment plans, preparing statements and ensuring that patients are billed quickly and accurately.
Knowledge and Skills:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· Ability to prioritize and manage expectations
· A keen eye for detail
· Ability to work independently
· Ability to communicate articulately and efficiently with other people within the company
· Organization
· Data entry skills
· Thoroughness
· Excellent customer service skills and phone manner
· Ability to manage stress in a fast-paced environment
· Strong knowledge of Medicare and Medicaid practice
· Solid understanding of billing software and electronic medical records
· Ability to manage time effectively
Essential duties, functions, responsibilities include the following, but are not limited to, and other duties, functions, and responsibilities may be added.
· Maintaining the billing system
· Maintain billing software by updating cash deposits and insurance claims
· Ensure the patient’s insurance information is accurate and up to date
· Generating invoices and account statements
· Performing account reconciliations
· Maintaining accounts receivable files and records
· Producing monthly reports to assist the Chief Financial Officer reconciliations
· Investigating and resolving any irregularities or enquiries
· Assisting in general financial management and analysis
· Posts customer payments by recording cash, checks, and credit card transactions
· Posts revenues by verifying and entering from local deposits
· Post payments in a timely manner
· Monitor and record late payments
· Updates receivables by researching billed but unpaid claims
· Resolves valid or authorized deductions by entering adjusting entries
· Resolves invalid or unauthorized deductions by following pending deductions procedure
· Resolves collections by examining customer payment plans, payment history
· Summarizes receivables by maintain invoice accounts, coordinating monthly transfer to accounts receivable account; verifying totals; preparing reports
· Submit reimbursement requests to Medicare and Medicaid
· Prepare and submit billing data and medical claims to insurance companies
· Process insurance claims for private and employer insurance reimbursement
· Investigate and appeal denied claims
· Work with patients to develop self-pay arrangements and payment plans
· Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses
· Examine patient bills for accuracy and request any missing information
· Process and follow up on payer denials, consulting with the patient and/or his or her family as needed
· Initiate private pay collections after insurance cancellation, denial or other issue
· Research and resolve client billing problems or issues
· Assist patients and their families with applying for charity care and other financial solutions following the financial assistance policy
· Document payment records and issues as they occur
· Collect and review referrals and pre-authorizations
· Protects hospital’s value by keeping information confidential
· Updates job knowledge by participating in educational opportunities
· Participates in departmental meetings and hospital wide meetings
· Performs other duties as assigned
Physical requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand, walk, sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms, balance, stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Education and Experience:
· High School Diploma or equivalent required.
· A minimum of 2 years’ experience as a Hospital/Clinic Medical Biller preferred
Work Environment:
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.
This job description does not state or imply that these are the only activities to be performed by the team member holding this position. Staff is required to follow other job-related instructions and to perform other job-related responsibilities as requested by management.
You can also send your resume' via email to jarmer@crmcks.com.
Caldwell Regional Medical Center (CRMC) takes necessary action to ensure all applicants are treated without regard to their race, color, religion, sex, sexual orientation, age, gender identity, national origin, genetic information, disability, pregnancy, military or veteran status or any other protected characteristic as established by law. For more information, please view the EEO is the Law poster.
CRMC participates in the Department of Homeland Security U.S. Citizenship and Immigration Services' E-Verify program. Please read the E-Verify Notice (Español) and Right to Work (Español) before proceeding with your job application. For additional information about the E-Verify program you may also visit the USCIS website.
In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), CRMC is committed to providing accessibility to employment opportunities for people with disabilities. If you have visited our site in search of information on employment opportunities or need to submit your résumé and you require extra accommodation, please call 620-845-6492 or email bbollman@crmcks.com. Please note that this contact information is for accommodation requests only.
Additional Information
Position Type : Full Time
Contact Information
Jennifer Armer - Human Resources
Caldwell Regional Medical Center
761 W 175th St. S
Caldwell, KS 67022
Email: jarmer@crmcks.com
Phone: (620) 845-6492 |
