PFS SPECIALIST I

Job Locations US-AK-Juneau
Job ID
2021-5037
Category
ACCOUNTING/FINANCE/REVENUE CYCLE
Type
Regular Full-Time/80hrs (1.0 FTE)

About Us:

 

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

 

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.

 

Job Overview:

Performs a variety of complex tactical and analytical patient accounting functions related to: insurance billing, self-pay billing, remit analysis & cash posting, accounts receivable management, claims follow up, charge capture and analysis, denials analysis & resolution and tasks to support the Consortium’s month end close processes. This role is vital to ensuring the timely and complete conversion of the Consortium’s net patient accounts receivable into cash to fund day to day operations and growth initiatives that benefit the communities we serve. 

Responsibilities:

  • Customer Service: Answer patient billing questions and take necessary action to resolve the account. Validate balance, bill and follow-up on patient self-pay accounts consistent with the Consortium’s discount, bad debt and charity policies.  Locate and monitor delinquent patient self-pay accounts, notify patients of delinquent accounts by mail or telephone, and arrange for debt repayment.  Collaborate with financial counselors to identify alternative funding sources for patients 
  • Cash Reconciliation: Log all transactions that are posted to the organization’s bank account into the cash log and allocate all monies to the appropriate EHR system or identify as a general ledger transaction. Balances all transactions posted to source system and daily batch deposits.   Researches and resolves un-applied cash and misapplied payment research requests. Communicates effectively with the cash posting team and participates and contributes constructively to produce results in a cooperative effort to ensure that all funds are processed, scanned and batched for posting within established service levels.
  • Facilitates insurance and patient refunds and ensures all back-up is scanned into refund log.
  • Process, sort, and log incoming mail. Print, scan, and organize correspondence such as EOBs, letters, and denials. Download back-up for clinic deposits in the PFS shared drive folders.  Log denials and work closely with billing to ensure proper follow up. Enter account history notes when necessary for billing team follow up. Hand off other correspondence to proper staff for follow up.
  • Participates in development and updating of organization procedures and update of forms and manuals. Performs a variety of general clerical duties and other routine functions.
  • Other duties as assigned.

Qualifications:

Education/Experience

  • High School diploma or equivalent.
  • 1 year experience in billing, collections, and cash posting

Knowledge, Skills & Abilities

  • Basic knowledge of hospital or clinic billing and follow up
  • Basic knowledge of payor remittances
  • Knowledge of medical terminology
  • Demonstrate basic knowledge of CPT’s, HCPCS, and Revenue Codes
  • Basic knowledge of major insurance companies billing policies to ensure compliance
  • Basic knowledge of insurance claim forms
  • General knowledge of specific specialties within the hospital or clinic billing area
  • Working knowledge of Microsoft Office Software programs
  • Knowledge of reconciling and balancing of payments received against account receivables
  • Proficient using a keyboard and 10 key
  • Highly motivated, self-starter
  • Attention to detail and accuracy
  • Good organizational skills
  • Good communication skills both orally and written
  • Problem solving and decision making skills
  • Ability to collaborate within cross-functional teams
  • Ability to work in a fast paced setting

 

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed