Patient Financial Services Specialist II

Beloit Health System is looking to add a Patient Financial Service Specialist II to our Team!

• Pay Range: $20.10 - $28.14 hour
• Shift: 1st
• Hours per week: 40
• Benefits Status:Benefits Eligible
• Department:Beloit Clinic Insurance/Billing

In this fully onsite position, the primary responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement for Medicare and Medicare Advantage health plans, as well as related third-party payers and patients assigned secondary financial responsibility. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.

• Words daily electronic billing file and submits insurance claims to Medicare, Medicare Advantage, and third-party payers.
• Works daily electronic billing file and submits insurance claims to Medicare, Medicare Advantage, and third-party payers
• Documents billing activity on relevant encounter(s) according to departmental standards; ensuring compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
• Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
• Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
• Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner
• Assists in reviewing and/or resolving credit balances
• Participates in general or special assignments and attends required training
• Demonstrates regular and reliable attendance to perform essential duties within the scope of position
• Other duties as assigned.

Job Requirements

• High school diploma or equivalent certification required
• 2+years of Medicare billing and claims resolution for institutional and professional claims management in the Medicare Direct Data Entry system (DDE).
• 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings
• Must adhere to established Hospital and Finance department policies, rules and regulations.
• Maintain ethical conduct and keep confidential personal and medical information about patients
• Reporting Relationship: Department Director
• Physical effort includes walking, standing, stair climbing, bending and stooping, lifting, reaching, and sitting at long intervals.
• Ability to speak clearly and distinctly and to interact positively with patients, peers, and the public.

Behavior and Attitude

The mission of Beloit Health System, Inc. is to be the leader in regional health and wellness services that delivers high quality value and satisfaction to our patients and communities we serve.

Beloit Health System requires the employee to maintain integrity as a fully engaged employee. Each employee will perform in a manner which ensures delivery of the highest quality of medical services and patient satisfaction. Respect and consideration given to the dignity of each patient, visitor, and fellow employee is a requisite of successful job performance. The above statements are intended to describe the essential functions and related requirements of personas assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities, and requirements.