patient financial services specialist

Johns Hopkins Aramco Healthcare

<div></div><div><div><div><div><div><div><div><div><h2 class="jobSectionHeader"><b>Job Title</b></h2>
</div><div>PATIENT FINANCIAL SERVICES ADVISOR.</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Family</b></h2>
</div></div><div></div><div><div><h2 class="jobSectionHeader"><b>Function</b></h2>
</div><div>CFO</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Code</b></h2>
</div><div>30008791</div></div><div><div><h2 class="jobSectionHeader"><b>
Reports to Job</b></h2>
</div><div>Business Unit Lead</div></div><div><div><h2 class="jobSectionHeader"><b>
Job Description Summary</b></h2>
</div><div>The Patient financial Services Advisor provides supervised assistance as needed to patients regarding financial responsibilities, and insurance coverage. This includes validating patient coverage and eligibility, explaining charges, payment expectations and patient copayment , and front line cash and tax invoicing , cash collection, and processing refunds, guide patient s through available payment options and installment plans to ensure patient satisfaction and efficient financial services.</div></div><div><div><h2 class="jobSectionHeader"><b>
Strategic Roles &amp; Responsibilities %</b></h2>
</div><div>00</div></div><div><div><h2 class="jobSectionHeader"><b>
Strategic Roles &amp; Responsibilities</b></h2>
</div></div><div></div><div><div><h2 class="jobSectionHeader"><b>Operational Roles &amp; Responsibilities %</b></h2>
</div><div>100</div></div><div><div><h2 class="jobSectionHeader"><b>
Operational Roles &amp; Responsibilities</b></h2>
</div><div><ul><li>Verify insurance coverage and eligibility to ensure accurate billing and clear communication of financial responsibilities and address coverage discrepancies and work with insurance companies to resolve issues as needed</li><li>
Assist patients with financial responsibilities charges payment expectations and copayments and coordinate payment plans or offer information on financial assistance options and address basic financial inquiries Escalate complex issues to senior staff when necessary</li><li>
Handle frontline cash transactions including invoicing cash collection and refunds Ensure accurate processing of payments manage cash drawers or registers maintain transaction records reconcile cash receipts and report daily to the relevant reconciliation team or staff</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Minimum Education Required</b></h2>
</div><div>Bachelor degree in finance or related healthcare/finance field or Diploma with 6 8 years of experience in healthcare financial services</div></div><div><div><h2 class="jobSectionHeader"><b>
Professional Certifications Required</b></h2>
</div><div>None</div></div><div><div><h2 class="jobSectionHeader"><b>
Years of Experience</b></h2>
</div><div>Minimum 3 years' experience in Healthcare Financial Services</div></div><div><div><h2 class="jobSectionHeader"><b>
Languages</b></h2>
</div><div>English:Advanced ; Arabic:Fully Proficient</div></div><div><div><h2 class="jobSectionHeader"><b>
Functional Competencies</b></h2>
</div><div><ul><li>Due Diligence</li><li>
Audit Reporting</li><li>
Data Collection</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Core Competencies</b></h2>
</div><div><ul><li>Excellence</li><li>
Integrity</li><li>
Accountability</li><li>
Cybersecurity</li><li>
Person-Centered Care</li></ul></div></div><div><div><h2 class="jobSectionHeader"><b>
Acknowledgement</b></h2>
</div><div>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.</div></div><div><div><h2 class="jobSectionHeader"><b>
Addendum Title</b></h2>
</div><div>No</div></div><div><div><h2 class="jobSectionHeader"><b>
Supplemental Work/Experience/Education Information</b></h2>
</div><div>N/A</div></div><div><div><h2 class="jobSectionHeader"><b>
Addendum Description</b></h2>
</div><div>N/A</div></div></div></div></div></div></div></div><p></p>

PATIENT FINANCIAL SERVICES ADVISOR.

Graham Regional Medical Center

<div>Description:
<p>
ORGANIZATIONAL DESCRIPTION</p><p>
The Revenue Cycle Specialist assists with various financial tasks, specifically payment and collections, for the hospital.
</p><p>INTERACTION</p><p>
Primarily Interacts with: administration, providers, employees, clinical and non-clinical departments, patients, and insurance companies.</p><p>
ESSENTIAL FUNCTIONS</p><ul><li>
Work with providers and patients as necessary for enrollment, patient financials, or eligibility and authorization.</li><li>
Obtain appropriate demographic and insurance/billing information from the patient and ensure accurate data entry.</li><li>
Verify patient eligibility and/or benefits; follow up with the patient and their health plan to determine if the patient is covered.</li><li>
Complete or obtain insurance verifications and obtain authorizations or referrals as required.</li><li>
Engage directly with patients to explain their bills, resolve billing inquiries, and collect payments or set up payment plans for outstanding balances, ensuring a positive customer service experience.</li><li>
Research any payment discrepancies.</li><li>
Work queues are in the appropriate module.</li><li>
Handle denials and appeals of claims.</li><li>
Post payments received and make financial adjustments as appropriate.</li><li>
Post in the General Ledger and Accounts Receivable system.</li><li>
Pull the explanation of benefits electronically and process accordingly.</li><li>
Pick up mail from the post office and process incoming mail daily.</li><li>
Uploads EMS mail into the Digitech FTP</li><li>
Scan all the supporting documentation.</li><li>
Upload correspondence and payments to Ditech daily.</li><li>
Maintain records for the financial department on a cash flow spreadsheet.</li><li>
Distribute payment receipts to the appropriate department managers.</li><li>
Prepare the bank deposit daily and take it to the bank.</li><li>
Send out the daily cash log.</li><li>
Create client invoices and send out the bills monthly.</li><li>
Process refunds.</li><li>
Balance petty cash daily.</li><li>
Pull bank deposit transactions daily from the banks.</li><li>
Upload reports daily to the appropriate FTP.</li><li>
Create reports as required.</li><li>
Process charity care applications.</li><li>
Run reports monthly and process them.</li><li>
Process worker compensation and MVA accounts.</li><li>
Process the payroll deduction report received from HR biweekly.</li><li>
Process and send billing records.</li><li>
Assist with special projects as assigned.</li><li>
Maintain the confidentiality of patient information in compliance with HIPAA.</li><li>
Provide exemplary customer service.</li><li>
Cooperate with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives, and infection control policies.</li><li>
Cordially demonstrate timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities.</li><li>
Solve practical problems, dealing with a variety of issues, and interpret a variety of instructions furnished in written and oral form.</li><li>
Attend meetings as required.</li><li>
Perform other duties as requested or assigned.</li></ul><p>
ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator, and other standard office equipment.</p>
Requirements:
<p>
EDUCATION/EXPERIENCE/SKILLS/ABILITIES</p><p>
Education:</p><ul><li>
Minimum High School diploma or GED required.</li><li>
College-level coursework in accounting or related field preferred.</li></ul><p>
Experience:</p><ul><li>
Two years of similar experience required in a healthcare setting.</li><li>
Experience with and understanding of medical and insurance terminology required.</li></ul><p>
Personal Job-Related Skills / Abilities:</p><ul><li>
Must be able to adapt quickly to changing situations.</li><li>
Ability to analyze information and make decisions using reasonable and logical judgment.</li><li>
Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred.</li><li>
Intermediate computer skills, including but not limited to: Microsoft Office &ndash; in particular Excel, electronic medical documentation, and email.</li><li>
Strong mathematical skills required.</li><li>
Must be able to adequately and quickly learn new software programs and serve as a Super User.</li><li>
Must be committed to quality and patient safety at all times.</li><li>
Must be able to communicate face-to-face and/or over the telephone.</li><li>
Must be able to work independently, and flexibly, and as a part of a multidisciplinary team.</li><li>
Must be able to manage several interruptions throughout the shift.</li><li>
Must have strong interpersonal and communication skills, verbal and written.</li><li>
Must have strong time management skills.</li><li>
Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact.</li><li>
Sufficient hearing, vision and dexterity to perform duties safely.</li></ul><p>
 Physical and Mental Requirements:</p><p>
Physical:
</p><ul><li>Activity Up to %: Walking 25; Squatting 10; Standing 25; Pulling 10; Kneeling 10; Reaching 35; Sitting 80; Lifting up to30 lbs 20; Pushing 10; Wrist/Finger Movements 90; Bending 25; Climbing 10
</li></ul><p>Mental:
</p><ul><li>Stress Level Moderate to High</li></ul><ul><li>
Individual position core competencies:</li><li>
Quality</li><li>
Service Excellence</li><li>
Compassion</li><li>
Professionalism</li><li>
Fiscal Responsibility</li></ul><p>
Required education within first 60 days (if employee is from outside organization).</p><ul><li>
GrahamRMC Orientation</li><li>
Department Orientation</li></ul><ul><li>
Continuing/Annual Education and Training:</li><li>
Falling Star Program</li><li>
Safety Storm Program</li></ul><p>
 5. Supervision</p><p>
Employees Supervised: __No__</p><p>
ADA REQUIREMENTS</p><p>
An &lsquo;X&rsquo; under the most appropriate category is marked and describes any extreme or hazardous working conditions that the job has to work under:</p><ul><li>
 Frequency of Condition</li></ul><p>
Condition 1-33% + Description</p><p>
Extreme Heat X
</p><p>Extreme Cold X
</p><p>Extreme Swings in Temperature X
</p><p>Extreme Noise X
</p><p>Working Outdoors X
</p><p>Mechanical Hazards X
</p><p>Electrical Hazards X
</p><p>Explosive Hazards X
</p><p>Fume/Odor Hazards X
</p><p>Dust/Mite Hazards X
</p><p>Chemical Hazards X
</p><p>Toxic Waste Hazards X
</p><p>Radiation Hazards X
</p><p>Wet Hazards X
</p><p>Heights X
</p><p>34-66% + Description</p><p>
-</p><p>
67%+ Description</p><p>
Working Indoors X</p><p>
OSHA Classification:</p><ul><li>
Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions.</li></ul><p>
__X__ Category III: Tasks that involve no exposure to blood, body fluids or tissues and Category I tasks are not a condition of employment.</p><p>
The normal work routine involves no exposure to blood, body fluids or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone and personal contacts such as handshaking are Category III tasks.</p></div>

Revenue Cycle Specialist

Kaweah Health

<div><p>Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.
</p><p></p><p>It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do &mdash; in the health of our patients, our loved ones, and our community.</p><p></p><p><b>
Benefits Eligible</b></p>
Full-Time Benefit Eligible<p></p><p><b>
Work Shift</b></p>
Day - 8 Hour or less Shift (United States of America)<p></p><p><b>
Department</b></p>
8530 Patient Financial Services<p></p>
Maintains complete and full knowledge of payer(s) assigned to ensure accurate billing and collection of the claims. Validates that the Kaweah Health is being reimbursed by the payer in accordance with government or contract terms.<p></p><p>
QUALIFICATIONS</p><p></p><p>
Education</p><p>
Preferred: High school diploma or equivalent</p><p></p><p>
Experience</p><p>
Required: Prior Patient Accounting or admissions experience. Comparable medical billing education may be considered.</p><p></p><p>
JOB RESPONSIBILITIES</p><p>
Essential</p><p></p><p>
Maintains complete and full knowledge of payer(s) assigned to ensure compliance of specific guidelines and rules, as well as ensuring the Kaweah Health is being reimbursed by the payer in accordance with governmental or contract terms. Is a resource to Finance division management regarding the assigned payer.</p><p>
Brings any reimbursement or compliance concerns to the attention of the Patient Accounting Manager.</p><p>
Utilizes computer systems and/or billing reports to review all patient registrations or admissions for demographic information, appropriate financial class, insurance company and plan, and charges. 100% accuracy of this information is required to ensure proper recording of revenue, necessary authorizations are obtained, payer classification, correct billing of patient account, and other statistical indicators. Brings any unresolved issues to the attention of their manager.</p><p>
Audits unbilled reports for potential holdups of patient accounts. Works closely with Medical Records on coding issues, Insurance Verification Clerk on insurance issues and other departments as necessary.</p><p>
Completes billing process. Ensures all charges are accurate and appropriate. Payer guidelines will be followed during the billing process. After billing has been completed, uses appropriate charge description master (CDM) number to identify the payer and when the account was billed. Works closely with departments on unresolved issues.</p><p>
Reviews and researches patient account credits and refunds as appropriate to patient and/or payer. For governmental payers, has the credit retracted.</p><p>
Receives all correspondence and inquiries related to patient accounts and payer contract for which they are responsible. Answers mail and take appropriate action within specified timeframe.</p><p>
Bills any secondary payers, change financial classes accordingly and sends appropriate collection system letter to patient for co-pays and deductibles owed, denied services, amounts applied to deductible, etc. Uses correct CDM code to identify what secondary payer was billed and when.</p><p>
Reviews and works aging reports to identify unpaid patient accounts. Follows up with payers for timely reimbursement.</p><p>
Works to ensure that days in accounts receivable goals are met maintained and/or lowered. Maintains job productivity and quality standards on a consistent basis as established by division management.</p><p>
Answers phones as a back up to other departmental staff. Takes messages or routes calls as appropriate. As back up, assists customers at the service counter.</p><p>
Conforms with patient confidentiality standards.</p><p>
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.</p><p>
Performs other duties as assigned.</p><p></p><p>
Addendum (essential for specific dept)</p><p></p><p>
Insurance or managed care payer:</p><p>
Has complete knowledge of assigned insurance payer, knows contract terms, requirements and payment practices.</p><p>
Receives prior day's explanation of benefits or remittance advices for assigned payer(s). Reviews to ensure that appropriate contractual adjustments have been taken by payer. Works closely with payer to resolve issues and brings continued problems to the attention of their manager.</p><p>
Monitors patient accounts for secondary payer reimbursement.</p><p></p><p>
Medicare payer:</p><p>
Gets electronic remittance advice (R/A) ready for the Accounts Receivable Clerks. Distributes Medicare mail.</p><p>
Reviews DRG worksheet for accuracy of reimbursement. Reviews all denied changes for appropriateness.</p><p>
Reviews the Pending Billing List report and deletes non-covered services. Checks for overlapping claims through accounts receivable inquiry (ARI).</p><p>
Reviews and processes recurring accounts according to procedure.</p><p>
If responsible for professional billing, processes these bills according to procedure.</p><p>
Reviews and follow up on the DDE system.</p><p></p><p>
Medi-Cal payer:</p><p>
Maintains full and complete knowledge of the regulations governing the Medi-Cal payer.</p><p>
Reviews the Pending Billing List report and/or the Final Accounts and Cycle Billed report. Follow up is completed according to procedure.</p><p>
Reviews and processes R/A's following procedure.</p><p>
Reviews MEDTRIEVE data to identify problems in billing. Reviews statistical data with their Manager to maximize reimbursement</p><p>
Reviews Medi-Cal TAR Dashboard weekly for any follow up on approved or denied TARs.</p><p></p><p>
Self-pay accounts:</p><p>
Responsible for the administration of the Computer Collection letter service interface (CCI) process.</p><p>
Prepares and completes the bad debt write-off and assignment to the collection agency.</p><p>
Acts as a liaison to the collection agency and works with patients regarding hospital accounts assigned.</p><p>
Responsible to identify patient accounts that may qualify for charity care. Works with patients who inquire about charity program.</p><p>
Monitors patient accounts pending the Medi-Cal disability process and/or TCMS program.</p><p>
Responsible for the estate lien filing in the case of deceased patients to assure that the Kaweah Health receives payment on accounts.</p><p></p><p>
Lead also responsible for:</p><p>
May be responsible for educating individuals in the Patient Accounting Department on new processes and/or payment regulations.</p><p>
May be assigned to develop training curriculum on new processes.</p><p>
Provides department staff with information regarding updates or changes.</p><p>
May serve as a Subject Matter Expert (SME) for systems issues and claim payment issues.</p><p>
Identifies, investigates, and appropriately communicates account errors in order to prevent further errors.</p><p>
Proactively and critically analyzes departmental processes and products, makes continuous improvements.</p><p>
Keeps the Director of Patient Financial Services informed of any potential issues or areas of concern on an ongoing basis.</p><p></p><p><b>
Pay Range</b></p>
$23.37 -$35.05<p></p><p>
If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.</p></div><p></p>

Patient Account Specialist

Firelands Physician Group

<div><h4 class="jobSectionHeader"><b>GENERAL SUMMARY AND SCOPE</b></h4>
<p>
The Clinical Improvement Specialist is responsible for understanding and improving clinical care, population health and quality program requirements. The scope of work will include monitoring, reporting and improving patient care opportunities, documentation workflows, patient satisfaction and ambulatory clinical processes.</p>
<h4 class="jobSectionHeader"><b>
ESSENTIAL TASKS, DUTIES AND RESPONSIBILITIES</b></h4>
<ul><li>Understand, design and improve clinical workflow processes in practices, assuring exceptional patient care and high user satisfaction</li>
<li>Responsible for establishing, managing, and maintaining clinical workflow process across the continuum, including the documentation and report requirements needed to meet a variety of program guidelines</li>
<li>Monitor and prepare patient satisfaction reports to support patient advocacy activities within FPG administration</li>
<li>A clinical administration liaison for new technologies to improve patient care and business operations</li>
<li>Accepts accountability to manage assigned quality initiatives and utilizes performance improvement processes to facilitate planned change</li>
<li>Works to streamline concurrent quality program requirements to enhance care processes to improve patient outcomes and compliance with best practices</li>
<li>Aggregates data and provides reports that are timely, pertinent, reliable, and accurate to report positive and negative findings to administration and staff teams to facilitate improvement as needed</li>
<li>Performs quarterly safety site assessments and communicates deficiencies as needed to Operations Managers</li>
<li>Monitors safety and compliance dashboards for patient safety and coordinates improvement activities as it relates to deficiencies</li>
<li>Participates in and coordinates audit preparedness activities</li>
<li>Monitoring of quality and population health data through system dashboards working to improve accuracy and proper data capture</li>
<li>Effectively works interdepartmentally to achieve quality department goals and program requirements</li>
</ul> <h4 class="jobSectionHeader"><b>KNOWLEDGE, SKILLS AND ABILITIES</b></h4>
<ul><li>License/certification in a healthcare related field required. Bachelor&rsquo;s degree in a healthcare or informatics field strongly preferred.</li>
<li>Five (5) years&rsquo; experience in healthcare environment required.</li>
<li>Clinical information systems and training experience required.</li>
<li>Working knowledge of computer systems and associated software applications required.</li>
<li>Skilled in exercising initiative, judgment, problem solving, and decision making.</li>
<li>Skilled in analysis and interpretation of data, and preparation of reports.</li>
<li>Skilled in time management and organization. Ability to prioritize and meet deadlines.</li>
<li>Governmental regulations and compliance requirements.</li>
<li>Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment. Ability to comply with provisions of applicable S.D.S. forms.</li>
<li>Successful completion of a 180-day probationary period.</li>
</ul><p>
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities<br>
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</p></div>

FPG, Clinical Improvement Specialist - Sal, FT

CHRISTUS Health

<div><b>Description</b><p><br>
Summary:</p>
<p>The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
<br>
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.</p>
<p>Responsibilities:</p><br>
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
<p>Job Requirements:</p><br>
<p><b>Education/Skills</b></p>
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul><p><b>Experience</b></p>
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul><p><b>Licenses, Registrations, or Certifications</b></p>
<ul><li>None required.</li></ul><br>
<p></p>
<p>Work Schedule:</p><br>
<p>8AM - 5PM Monday-Friday</p>
<p>Work Type:</p><br>
<p>Full Time</p></div>

Patient Financial Representative Senior - Financial Services

Macrise Tech Solutions

<p>Patient Billing &amp; Account Services Specialist</p><p>The Patient Billing &amp; Account Services Specialist is responsible for managing patient financial communications, payment processing, account maintenance, and billing support activities. This role requires strong customer service skills, attention to detail, and the ability to effectively resolve billing inquiries while ensuring accurate account management and timely payment collection. The position supports overall revenue cycle performance by maintaining accurate financial records and providing exceptional patient assistance.</p><p>Key ResponsibilitiesPatient Communication &amp; Account Support</p><ul><li>Conduct outbound outreach to patients regarding outstanding balances, payment reminders, account updates, and billing-related matters.</li><li>Respond to inbound patient inquiries concerning billing statements, account balances, payment arrangements, and general account questions.</li><li>Provide professional, courteous, and empathetic customer service while addressing patient concerns and offering accurate billing information.</li><li>Assist patients in understanding payment options, financial responsibilities, and available payment solutions.</li></ul><p>Billing &amp; Payment Processing</p><ul><li>Accurately post insurance and patient payments within the practice management and billing systems.</li><li>Process manual payments and receipts while ensuring all financial transactions are properly documented and reconciled.</li><li>Generate, distribute, and monitor electronic billing statements in a timely manner.</li><li>Establish, maintain, and monitor patient payment plans according to organizational policies and guidelines.</li><li>Process recurring and scheduled payment plan transactions while ensuring accurate posting and account reconciliation.</li></ul><p>Account Maintenance &amp; Reconciliation</p><ul><li>Review patient accounts to identify payment posting discrepancies, resolve errors, and perform necessary account adjustments.</li><li>Maintain accurate and current patient demographic, insurance, and financial information within the billing system.</li><li>Document all billing activities, account updates, patient communications, and payment transactions thoroughly and accurately.</li><li>Perform routine account audits to ensure data integrity and financial accuracy.</li></ul><p>Encounter Review &amp; Documentation Management</p><ul><li>Review patient encounters to verify accurate charge capture and alignment with services rendered.</li><li>Collaborate with clinical, administrative, and billing teams to resolve incomplete, missing, or inaccurate encounter documentation.</li><li>Maintain organized and up-to-date billing records within the practice management system.</li><li>Support compliance initiatives by ensuring proper documentation and record retention standards are maintained.</li></ul><p>Core Competencies</p><ul><li>Strong knowledge of medical billing, patient accounts, and revenue cycle processes.</li><li>Excellent communication, customer service, and conflict-resolution skills.</li><li>High attention to detail and accuracy in payment posting and account reconciliation.</li><li>Ability to manage multiple priorities while meeting deadlines.</li><li>Proficiency with electronic health records (EHR), practice management, and billing systems.</li></ul><p>Pay: Rs40,000.00 - Rs70,000.00 per month</p><p>Ability to commute/relocate:</p><ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Preferred)</li></ul><p>Application Question(s):</p><ul><li>Willing to work the night shift, Wapda Town, Lahore?</li></ul><p>Experience:</p><ul><li>Medical Billing: 1 year (Preferred)</li></ul><p>Language:</p><ul><li>English (Preferred)</li></ul><p>Work Location: In person</p>

Medical Billing & Collections Specialist

Progress Weight Management

<p><b>Medical Billing Specialist</b></p><p><b>Location:</b> Fargo, ND (In-Person)</p><p><b>Job Type:</b> Full-Time</p><p><b>Pay Range:</b> $18.00&ndash;$25.00 per hour</p><p><b>About the Role</b></p><p>We are seeking a detail-oriented and dependable <b>Medical Billing Specialist</b> to join our growing healthcare team in Fargo, North Dakota. This position plays a critical role in supporting the financial health of our organization by ensuring accurate claim submission, timely reimbursement, and exceptional patient service.</p><p>The ideal candidate has prior medical billing experience, strong problem-solving skills, initiative, and a collaborative work ethic. They are confident in working with insurance claims, billing processes, revenue cycle management, and EHR systems while contributing to a mission-driven healthcare organization.</p><p><b>Key Responsibilities</b></p><p><b>Claims Management &amp; Reimbursement</b></p><ul><li>Prepare, review, and submit accurate medical claims to commercial insurance carriers, Medicare, Medicaid, Tricare, and other third-party payers.</li><li>Audit claims for completeness and accuracy prior to submission.</li><li>Monitor claim status and perform follow-up on unpaid, delayed, denied, or rejected claims.</li><li>Research claim issues and coordinate appeals to maximize reimbursement.</li><li>Document all follow-up activities and claim actions within patient account records.</li></ul><p><b>Insurance Verification &amp; Eligibility</b></p><ul><li>Verify patient insurance eligibility and benefits prior to services.</li><li>Identify authorization and referral requirements when applicable.</li><li>Confirm coverage limitations and patient financial responsibility.</li></ul><p><b>Patient Billing &amp; Customer Service</b></p><ul><li>Generate and distribute patient statements.</li><li>Assist patients with billing questions, insurance explanations, account balances, and payment options.</li><li>Explain Explanation of Benefits (EOBs) and patient financial obligations in a professional manner.</li></ul><p><b>Payment Posting &amp; Account Reconciliation</b></p><ul><li>Post insurance payments, patient payments, contractual adjustments, and corrections accurately.</li><li>Reconcile account balances and investigate discrepancies.</li><li>Maintain accurate billing and payment records.</li></ul><p><b>Compliance &amp; Reporting</b></p><ul><li>Ensure compliance with HIPAA regulations and payer requirements.</li><li>Maintain confidentiality of patient information at all times.</li><li>Stay current on billing regulations, coding updates, and reimbursement guidelines.</li><li>Prepare reports and billing-related documentation as requested.</li></ul><p><b>Qualifications</b></p><p><b>Required</b></p><ul><li>High school diploma or equivalent.</li><li>Minimum 1&ndash;3 years of medical billing experience in a clinic, hospital, or healthcare billing environment.</li><li>Experience with medical billing software and Electronic Health Record (EHR) systems.</li><li>Knowledge of medical terminology and healthcare reimbursement processes.</li><li>Familiarity with ICD-10, CPT, and HCPCS coding systems.</li><li>Understanding of Medicare, Medicaid, commercial insurance, and coordination of benefits.</li><li>Strong attention to detail and organizational skills.</li><li>Excellent communication and customer service abilities.</li><li>Ability to multitask and prioritize work in a fast-paced environment.</li><li>Proficiency with computers.</li><li>Ability to maintain confidentiality and professionalism when handling sensitive information.</li></ul><p><b>Preferred</b></p><ul><li>Certified Professional Biller (CPB), Certified Billing &amp; Coding Specialist (CBCS), or similar credential.</li></ul><p><b>Benefits</b></p><ul><li>Medical, Dental &amp; Vision Insurance</li><li>Short Term Disability Insurance</li><li>Retirement</li><li>Paid Time Off (PTO)</li><li>Paid Holidays</li></ul><p>Pay: $18.00 - $25.00 per hour</p><p>Benefits:</p><ul><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Retirement plan</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Medical Billing Specialist

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