Patient Financial Services Specialist II
- Location: Remote
- Shift: 1st Shift
- Schedule: 8a-4:30p; M-F
- Hours per week: 40
- Benefits Status: Beneifts Eligible
- Department: Insurance/Billing
We offer competitive pay. Our benefits package includes exceptional health
and dental insurance, a generous vacation allowance, daycare assistance
up to 25%, tuition reimbursement, retirement plan, employer-matched TSA,
discounted/free membership at NorthPointe Fitness Center and much more. EOE
Come join our team today!
**** No Recruiters/Staffing Companies****
Beloit Health System has an immediate Patient Financial Services Specialist II opening. This position offers a competitive wage, with generous benefits, all while working for a Health System with over 50 years of experience that is known for our friendly atmosphere and focus on patients.
This position will:
- Work remotely and independently (WI and IL residents only)
- Be 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
Requirements include:
- 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
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