Patient Financial Service Specialist II - Insurance/Billing 134.22

mmediate Opening: Patient Financial Service Specialist II – BC Insurance Billing

• Are you looking for a new and challenging career in Healthcare?
• Do you want to make competitive pay, with generous benefits, while still having your nights and weekends free?
• Do you want to work for a Health System with over 50 years of experience that is known for our friendly atmosphere and focus on patients?

If yes, this is the opportunity for you!

This position will:

• Work remotely and independently
• Responsible for accurate billing of health system services
• Prepare claims for billing through edit resolution
• Ensure timely claim submission
• Obtain fiscal resolution of no pay/overpayment determinations(denials) through appeal
• Analyze payor claims processing and reimbursement to contractual obligations to ensure facility is receiving proper payment for services
• Document all work in accordance with departmental standards

Required:

• High school diploma or equivalent
• Certification as Revenue Cycle Representative (CRCR) or Specialist (CRCS) within one year or at time of placement
• 2+ years’ experience (within the last 3 years) of Medicare billing and claims resolution for institutional and professional claim management in the Medicare Direct Date Entry (DDE) system
• Knowledge of advanced patient accounting processes and healthcare

Preferred:

• 4+ years’ (within the last 5 years) of customer service and/or business office experience, ideally in a combination of hospital and professional settings

Job #: 134.22
Shift: 1st
Hours: 80/PP (40 per week)

We offer competitive pay. Our benefits package includes exceptional health and dental insurance, a generous vacation allowance, daycare assistance up to 25%, generous incentives, tuition reimbursement, retirement plan, employer-matched TSA, discounted/free membership at out NorthPointe Fitness Center and much more.

EOE