Full Time, Evenings
Requisition # 32692
Patient Account Specialist
28890
Position Summary:
Responsible for billing and collecting patient cost share balances from third party claims and billing and collecting self-pay claims. Generates and mails patient statements and final notices, initiates collection calls and responds to incoming calls from patients and guarantors making payments or inquiring about billing status. Researches and resolves complex billing issues, utilizing knowledge of current hospital and medical billing and reimbursement methodologies. Works in close coordination with Financial Counselors and Customer Service personnel to support a favorable patient experience.
Responsibilities:
Performs Accounts Receivable Collections by issuing patient statements, making outbound collections calls and handling inbound patient calls to take payments or respond to billing inquiries
Reviews patient account to ensure account balance accuracy before statement is generated
Works with Business Services, Financial Counseling, Coding, HIM, Patient Advocacy, and clinical departments to resolve patient inquiries, or billing or patient care complaints
Researches and resolves claims discrepancies or routes claims issue to appropriate department for resolution
Processes and posts patient payments to guarantor accounts. Assures that payments not specifically directed by the patient or guarantor are applied per established payment posting logic (programming)
Analyzes patient accounts receivable to respond to patient billing concerns; escalates to Patient Advocacy when patient questions are related to a patient care complaint
Identifies billing and coding errors from the EOB posting and works with source departments to facilitate corrections as needed
Identifies Commercial, Medicare, Medicaid and other coverage, in coordination with the patient; assigns the correct primary and secondary payer information and transfers account to Business Services for processing of corrected claim. Enters notes in the billing system to document corrected billing actions
As needed for newly identified third party payer coverage, verifies insurance eligibility and benefit information, collects patient co-payments, co-insurances, and deductibles
Supports Financial Counseling by completing financial assistance screening for patients who express an inability to pay, per Financial Assistance policy. Transfers patient to Financial Counseling Department, as appropriate
Performs other related duties as assigned
Familiar with standard concepts, practices, and procedures within the field
Relies on experience and judgment to plan and accomplish goals
Regular and predictable attendance is an essential job function
Competent to meet age specific needs of the unit assigned
Requirements and Minimum Qualifications:
Associate’s degree in a related field preferred
Minimum 1 year experience working in a hospital/health care business office or financial clearance department, scheduling, or registration required
Working knowledge of current health insurance reimbursement methodology, hospital and medical billing practices preferred
Ability to read and explain an Explanation of Benefits (EOB) and Remittance Advice (RA)
Familiarity with CPT codes, and medical terminology, preferred
Excellent communication, organizational and analytical skills required
Knowledge and demonstrated competence working with Microsoft Office software
·
Working Conditions:
Must be able to lift and move up to 10 lbs
Must be able to reach arms above or below shoulder height
Must be able to maintain a sitting position
Typical equipment used in an office job
Repetitive movements
About Kootenai Health
Kootenai Health has a solid reputation in the Pacific Northwest and has a rich history that spans nearly 60 years of innovation, achievements, and healthcare benchmarks. Our main campus is located in Coeur d’Alene, Idaho, and includes a 330-bed community-owned hospital. We have been recognized among large employers as the No. 1 Best Place to Work in Healthcare by Modern Healthcare magazine and are regularly recognized by Cleverly and Associates for providing value to our community.
Three Time Magnet Designated since 2006 – This designation is nursing’s top honor, accepted nationally as the gold standard in nursing excellence. Kootenai was the first hospital in the Inland Northwest to receive this designation and the second in Idaho.
Member of the Mayo Clinic Care Network – In 2014, Kootenai Health became the 30th member, a national network of like-minded organizations that share a commitment to better serving patients and their families. Kootenai Health is the first health care organization in the Pacific Northwest to be selected as a member of the Mayo Clinic Care Network, and, like all network members, will remain a locally-owned and independent health care provider.
Most Wired / Wireless Hospital, Hospital & Health Networks – Kootenai is consistently named one of the country’s 100 Most Wired hospitals. In this same survey, Kootenai also earned a spot on the Top 25 Most Wireless hospitals.
Three Time Great Workplace Award – Kootenai Health has been recognized as one of the most engaged and productive workforces in the world!
As your next employer, we are excited to offer you:
100% employer-paid health insurance premiums for full-time employees. Part-time employees pay only a small portion a month for medical, dental, and vision coverage
Tuition assistance program
457 retirement plan
Convenient near campus daycare
Competitive salaries with a 12% differential for nights and an 8% differential for weekends
An award-winning and incentive-driven wellness program
Employee reward, recognition, and retention programs
Professional development and leadership training opportunities
And much more
Have you considered a career at Kootenai Health? Maybe you should!
Apply today!
Kootenai Health complies with applicable federal civil rights laws and does not discriminate based on race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
Source: Indeed.com
Click Here To Apply
