patient billing specialist

Lake County, IL

<div><div><div><h2 class="jobSectionHeader">General Description</h2></div>
<div>The Patient Accounts Billing Specialist is a valuable member of our Finance team who under general supervision performs work of considerable difficulty in assisting with the administration of the Health Department&rsquo;s central billing office management program. The position has the responsibility for reviewing, researching, analyzing, and performing collections of outstanding patient balances. Ensures accurate records are kept for all sliding fee activity to ensure the agency complies with all appropriate regulations as required. Ensures patients with a spenddown amount within a government program have their services billed appropriately. Performs customer service and payment collection as assigned. Provides various patient management reports as needed. Use of multiple medical billing and financial programs are essential to this position. Strong problem-solving ability, high level analytical ability and critical thinking skills are needed to perform this role successfully. 
 
Scheduled Hours: 37.5 hours per week</div>
<div><h2 class="jobSectionHeader">Essential Functions</h2></div>
<div><ul><li>Responsible for processing patient refunds.</li><li>
Responsible for processing patient bad debt.</li><li>
Responsible for collection of private pay balances.</li><li>
Assist patients with obtaining access to a LCHD navigator, setup of payment plans or Financial Hardship using established protocols.</li><li>
Audit, analyze and correct patient sliding fee applications.</li><li>
Re-bill and adjust patient accounts as necessary using the NextGen system.</li><li>
Assist in deposit resolution between Treasurer&rsquo;s, clinics and Finance.</li><li>
Interpret and explain eligibility results.</li><li>
Create patient management reports using the NextGen system.</li><li>
Analyze and resolve accounts receivable aging issues.</li><li>
Use Microsoft Excel to create spreadsheets to assist in the analysis of patient data.</li><li>
Trace the transactions through NextGen from charge entry through claim creation as part of problem resolution.</li><li>
Resolve all patient inquiries from internal and external customers.</li><li>
Keeps thorough records of all activity including reporting and tracking of billing adjustments or corrections.</li><li>
Develops and maintains a basic knowledge of services available at the Lake County Health Department and Community Health Centers (LCHD/CHC).</li><li>
Participates in quality improvement activities to assess, monitor and improve program services.</li><li>
Participates in staff meetings, in service trainings, and seminars to facilitate professional growth and maintain licensure if required.</li><li>
Involvement in quality improvement activities on an ongoing basis.</li><li>
Assists with other projects and duties as assigned.</li></ul></div>
<div><h2 class="jobSectionHeader">Knowledge Skills Abilities and Education Required</h2></div>
<div><ul><li>Completion of a high school diploma or G.E.D. certificate. Associate&rsquo;s Degree or certification in health information technology or accounting is preferred.</li><li>
two years experience using an Electronic Practice Management system.</li><li>
Two years of collections experience in a provider setting.</li><li>
Advanced Proficiency in Excel and utilizing ten-key data entry is required.</li><li>
Experience with different reporting software.</li><li>
Bilingual is preferred.</li></ul></div>
<div><h2 class="jobSectionHeader">Supplemental Information</h2></div>
<div>As the largest human service provider in Lake County, we believe that services must be available without barriers. No residents are turned away due to the inability to pay. We believe in providing services in an environment of mutual respect, free of discrimination or bias. Whether assuring accessible and effective care, impacting policy, or assessing and monitoring risks, the Lake County Health Department and Community Health Center has been an essential part of the public health system in Lake County for 60 years. We are looking for passionate, qualified team members who can help make a difference in our agency and, most importantly, in our community.
Additional information about the Lake County Health Department, our culture, and why you should join our team can be found at https://lakecountyil.attract.neogov.com/health-department.
At this time, you must live in Illinois or Wisconsin to be eligible to work at Lake County Health Department. You can find our salary grades at https://www.lakecountyil.gov/4515/Salary-Grades. For unionized positions, a list of our collective bargaining agreements can be found here: https://www.lakecountyil.gov/2686/Collective-Bargaining-Agreements.
Any offer of employment is conditioned on the successful completion of a background screening, drug and alcohol testing and may include a pre-employment medical exam.
The Lake County Health Department and Community Health Center is an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sexual orientation, gender identity or gender expression, national origin, disability, veteran status, and other protected characteristics.</div></div></div>

Patient Accounts Billing Specialist

Appleton Area Health

I. POSITIONa. The Patient Account Representative is responsible for managing patient billing accounts and ensuring accurate processing of charges, payments, insurance claims, and account balances. This role acts as a liaison between patients, insurance companies, and healthcare providers to resolve billing issues and ensure timely reimbursement.II. QUALIFICATIONSa. Education/Training:<ul><li>High school diploma or equivalent; supplemented with one year of patient service experience in a health care organization. Medical billing or coding courses are helpful.</li></ul>billing experience in a health care organization. Medical billing or medical coding courses helpful.b. Skill(s):<ul><li>Analytical&mdash;the individual synthesizes complex or diverse information.</li><li>Problem solving&mdash;the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully</li><li>Oral communication&mdash;the individual speaks clearly and persuasively in positive or negative situations.</li><li>Quality management&mdash;the individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.</li><li>Judgment&mdash;the individual displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.</li><li>Planning/organizing&mdash;the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.</li><li>Safety and security&mdash;the individual actively promotes and personally observes safety and security procedures and uses equipment and materials properly.</li></ul>III. STANDARD REQUIREMENTSa. Supports the Mission, Vision and Standards of Behavior at Appleton Area Healthb. Is knowledgeable of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment.c. Supports and cooperates with specific procedures and programs for:<ul><li>Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.</li><li>Confidentiality of all data, including patient, employee, and operations data.</li><li>Quality assurance and compliance with all regulatory requirements.</li><li>Compliance with current law and policy to provide a work environment free from sexual/ harassment and all illegal and discriminatory behavior.</li></ul>d. Supports and participates in common teamwork:<ul><li>Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction including appropriate judgment.</li><li>Uses tactful, appropriate communications in sensitive and emotional situations.</li><li>Follows up as appropriate with supervisor, co-workers or patients regarding reported complaints, problems, and concerns.</li><li>Promotes positive public relations with patients, family members and guests.</li><li>Completes requirements for in-service training, acceptable attendance, uniform dress codes including personal hygiene, and other work duties as assigned.</li></ul>IV. ESSENTIAL FUNCTIONSa. Prepare monthly billings for Care Center, Assisted Living, and Meals on Wheels services.b. Meet with residents and family members upon admission to obtain accurate financial information.c. Verify patient insurance coverage and eligibility.d. Review and manage patient accounts to ensure accurate billing and payment processing.e. Process necessary insurance forms in an accurate, timely, and efficient manner.f. Investigate and resolve billing discrepancies and claim errors.g. Routinely review outstanding accounts by monitoring the accounts receivable aging.h. Respond to third party, patient, and all other inquiries in a timely manner.i. Prepare and disperse annual rate notices.j. All other duties as assigned by supervisor.Job Type: Full-timePay: $20.20 - $24.52 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Childcare</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul>Schedule:<ul><li>8 hour shift</li><li>Monday to Friday</li></ul>Ability to Relocate:<ul><li>Appleton, MN 56208: Relocate before starting work (Required)</li></ul>Work Location: In person

Patient Accounts Representative - Long Term Care & Community Programs

Murtaza and Co

<ul><li>Patient Billing &amp; Revenue. </li><li>Billing Accuracy: Verify patient bills against services rendered (lab tests, room charges, surgery).</li><li>Insurance/Corporate Claims:</li><li>Process and follow up on insurance claims and corporate panels.</li><li>Daily Cash Balancing:</li><li>Reconcile daily cash, credit card, and online collections from the front desk.</li><li>Pharmacy &amp; Inventory Accounting. Stock Verification:</li><li>Reconcile pharmacy sales with physical stock levels to prevent leakage.</li><li>Purchase Orders:</li><li>Verify vendor invoices against Goods Received Notes (GRNs) for medicine and surgical supplies.</li><li>Consultant &amp; Vendor Payments. Doctor Payouts:</li><li>Calculate and process monthly shares/fees for consultants based on patient visits and procedures.</li><li>Vendor Management:</li><li>Manage the accounts payable cycle for medical equipment, utility bills, and facility suppliers.</li><li>Bank Reconciliations:</li><li>Perform daily/weekly reconciliation of all hospital bank accounts.</li><li>Payroll &amp; Statutory Tax. Salary Processing:</li><li>Prepare monthly payroll, including deductions for leave, advances, and &quot;our time&quot; (overtime/attendance) tracking.</li><li>Tax Compliance: Calculate and file withholding taxes (TDS) on vendor payments and consultant fees.</li><li>Statutory Filings:</li><li>GST (if applicable), Income Tax returns, and annual audits.</li></ul>Job Type: Full-timeAbility to commute/relocate:<ul><li>Karachi Nazimabad: Reliably commute or planning to relocate before starting work (Preferred)</li></ul>Application Question(s):<ul><li>Candidate must be finance and commerce graduate having certification will be preferable.</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Work Location: In person

Team Member Accounts

MedStar Health

<div>About this Job:

MedStar Health has an opportunity for a Patient Accounts Specialist to join the Billing team with MedStar's Patient Financial Services. As a Patient Accounts Specialist on the Billing team, you will be responsible for processing daily billing to include review and correction of daily edits to ensure that payments are met in a timely manner and that benchmarks are met. Ensures compliance with Federal regulations. Work must meet QA standards to ensure both departmental and Patient Financial Services benchmarks are met. 
 
We are specifically looking for candidates who have experience with third-party billing and working electronic payer rejections. Strong knowledge of UB04 and/or 1500 forms, the ability to read/interpret an explanation of benefits as well as proficiency in Microsoft Excel. 
Full time, Monday &ndash; Friday, 7am - 3:30pm schedule working on-site at the billing office located in Nottingham, MD. 
Primary Duties:<ul><li>Daily AM Renamer balancing and validation of the 837i and 837p.</li><li>Patient Accounts Specialist productivity</li><li>Electronic claim rejections</li><li>Processing of paper claims with medical records/attachments</li><li>Daily Billing Reconciliation completion</li><li>Monitor and follow up on daily claim holds with weekly reconciliation.</li><li>Processing of daily interrupt processing of Centralize Coding and Revenue Control claim referrals, etc.</li><li>Processing of returned mail</li><li>Processing of assigned billing projects</li></ul> 
Qualifications:<ul><li>High school graduation or equivalent.</li><li>1 year experience in patient accounting, accounts receivable, or related healthcare field, or an equivalent combination of experience and college education in Accounting, Finance or Healthcare Administration.</li><li>Detailed working knowledge and demonstrated proficiency in multiple payers application billing and/or collection processes, including governmental and non-governmental.</li><li>Requires basic working knowledge of UB04 and/or 1500 and Explanation of Benefits (EOB).</li><li>Requires some knowledge of medical terminology and CPT/ICD-10 coding.</li><li>Excellent communication, analytical, interpersonal and organizational skills.</li><li>Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications. Ability to type 35 WPM</li></ul>
This position has a hiring range of : USD $18.70 - USD $32.72 /Hr.</div>

Patient Accounts Specialist I - Billing

North East Medical Services

<div>SUMMARY OF POSITION: 
The Patient Account Specialist I interprets EOBs for correct payment verification, adjustments, and denials. The Patient Account Specialist I is also responsible for handling outstanding claims on aging reports and resolving patient inquiries regarding billing statements and insurance overage-related matters. The Patient Account Specialist I has to maintain up-to-date knowledge about CPT, ICD-10 CM, billing regulations, and payers' requirements. The Patient Account Specialist I has to comply with HIPAA guidelines and maintain confidentiality regarding patient account status and the organization's financial affairs.
<h1 class="jobSectionHeader">ESSENTIAL JOB FUNCTIONS:</h1><ul><li>
Reviews, edits, processes, and submits electronic and hardcopy claims to various payers (Medicare, Medicaid, Managed Care, and Private Insurance) for FQHC (Federally Qualified Health Centers) and FFS (Fee-For-Service) reimbursement, ensuring accuracy of payment entries and completeness of charge capture information.</li><li>
Maintains up-to-date knowledge of medical billing requirements for FQHC Medi-Cal, Medicare, state, local programs, and private insurance payers.</li><li>
Reports issues or payment trends (e.g., charges applied to the wrong visit, incorrect billing codes) to the supervisor for resolution.</li><li>
Edits charge/claim details and corrects submission errors to ensure accuracy.</li><li>
Researches and resolves outstanding claims on aging reports to minimize delays in reimbursement.</li><li>
Responds to payer requests and remittance advices promptly and professionally, including phone calls, letter responses, appeals, and submission of medical records or additional information as required.</li><li>
Under the guidance of the Patient Account Specialist II, addresses patient inquiries and billing complaints by making necessary adjustments, exploring all options to secure claim payments, referring complex issues to appropriate staff, and ensuring proper follow-up.</li><li>
Posts charges and submits claims for NEMS physicians&rsquo; hospital visits.</li><li>
Provides training and support to the Billing Department and front desk staff in Member Services, Medical, Dental, Optometry, Laboratory, and Radiology Departments.</li><li>
Adheres to policies and procedures for billing records retention.</li><li>
Acts as a liaison between physicians, insurance companies, and third-party organizations by processing and verifying invoices, ensuring claim reimbursements, and auditing patient accounts.</li><li>
Performs additional duties as assigned by management.</li></ul><h1 class="jobSectionHeader">
</h1><ul><li>Completion of an AA/AS degree is required, and a 4-year university diploma is preferred or maybe substituted with a minimum of 3 years of work experience in healthcare.
</li><li>Working experience in a healthcare or FQHC setting is preferred</li><li>
Working experience with Epic PB Resolute is preferred</li><li>
Familiar with Medicare, Medicaid, Private insurances, Managed Care (HMO &amp; PPO), CPT, and ICD-10 CM</li><li>
Must have excellent analytical and communication skills</li><li>
Must be proficient in computer skills</li><li>
Ability to write business correspondence</li><li>
Strong organizational skills to coordinate multiple, varied billing processes simultaneously</li><li>
Upholds high customer service standards in a demanding and complex health care organization</li><li>
Demonstrates initiative, resourcefulness, integrity and dedication to timeliness to achieve high customer satisfaction levels</li>
Self-motivated, diligent, organized, resourceful, responsible, and enthusiastic 
<li>
</li></ul>LANGUAGE:<ul><li>
Proficient in written and spoken English and Chinese (Cantonese and/or Mandarin)</li>
Fluent in other languages is an asset 
<li>
</li></ul>STATUS:<ul><li>
This is an FLSA Non-exempt position.
</li><li>This is not an OSHA high-risk position.</li>
This is a Full Time position. 
<li>
</li></ul>NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).</div>

PATIENT ACCOUNT SPECIALIST I

Keystone Health

<div>At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs.
The Patient Financial Services Department is seeking a full time Billing and Coding Integrity Specialist to join the team.
This role is fully on‑site and is not eligible for remote work.
Under the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health. The specialist is responsible for auditing and monitoring appropriate coding guidelines and regulations. Recommending any corrective action and assists with implementing the corrective action. This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current knowledge of coding/billing regulations and guidelines.
EDUCATION and/or EXPERIENCE: High School graduate or GED equivalency required. Minimum of two years&rsquo; experience in a similar position in a health care setting is preferred.
LICENSES and CERTIFICATION: AAPC Billing and Coding Certification required.
Keystone Health is an Equal Opportunity Employer</div>

Billing & Coding Integrity Specialist

Aegis Health Services

<div>
 
 
 Company Description
 
 
 
 Aegis Health Services is dedicated to driving better patient outcomes through population health management. The organization focuses on improving healthcare delivery by ensuring that patients receive coordinated and comprehensive care. With a strong emphasis on quality, Aegis Health Services strives to create impactful and sustainable solutions in the healthcare industry.
 
 
 
 
 
 
 Role Description
 
 
 
 This is a full-time hybrid role for a Medical Billing Specialist based in Sandy Springs, GA, with the flexibility to work partially from home. We are looking for an organized and experienced medical billing specialist. The medical billing specialist will be responsible for multiple aspects of the revenue cycle and must be able to multitask, prioritize, and manage time efficiently.
 
 
 
 
 
 Duties will include but are not limited to:
 
 
 
 
 <ul>
 <li>
 Reviewing daily charges for accuracy by verifying patient and payor information on all patients and claims.
 </li>
 <li>
 Performing insurance verification and eligibility checks.
 </li>
 <li>
 Resolving payer specific and clearinghouse claim errors and rejections.
 </li>
 <li>
 Correcting and submitting claims to insurance companies.
 </li>
 <li>
 Working aged account receivables.
 </li>
 <li>
 Analyzing insurance remittances for posting payments and denials.
 </li>
 <li>
 Submitting required documentation for reimbursement.
 </li>
 </ul>
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 3+ year of medical billing and coding
 </li>
 <li>
 Ability to verify patient benefits, analyze EOBs, determine appropriate codes for procedures performed, and post payments.
 </li>
 <li>
 Knowledge of CPT, HCPCS, and ICD-10 coding.
 </li>
 <li>
 Knowledge of Medicare, Medicaid, and other commercial health plans.
 </li>
 <li>
 Knowledge of EHR systems, spreadsheets, and word documents.
 </li>
 <li>
 Ability to work independently and manage multiple priorities.
 </li>
 <li>
 Ability to prioritize, organize, and exercise independent judgement and maintain confidentiality.
 </li>
 <li>
 Excellent analytical, verbal, and written communication skills.
 </li>
 </ul>
 
 
 
 
 **Salary compensation is based on experience**
 
 
 
 $24.00 - $28.00 per hour
 
 
</div>

Medical Billing Specialist

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