Patient Account Billing Specialist
Fairview Range
- Hibbing, MN
- $18.31-26.37 per hour
- Permanent
- Full-time
- Processes claims within assigned responsibility in a timely and efficient manner, performing all associated duties to assure correct, complete claims, facilitating maximum reimbursement.
- Analyzes, edits, and corrects claims data according to established procedure. Maintains knowledge and understanding of billing system(s) rules, processes, and edits claims.
- Inputs data to multiple computerized systems accurately, efficiently, and consistently.
- Performs work as scheduled, prioritizing as required for maximum cash flow.
- Demonstrates thorough knowledge of third-party payers’ varying claims requirements, multiple computer system capabilities relating to claims production, and admitting/health information input as it affects claims.
- Resolves claim denials and claim rejections in a timely manner.
- Resolves outstanding account balances with insurance companies.
- Process primary, secondary, and tertiary insurance claims accurately and timely for prompt payments of patient accounts.
- Handles phone, mail, and personal inquiries from patients, third party payers, attorneys, etc., regarding patient accounts.
- Assists and investigates inquires with patients or third-party payers to resolve questions or problems with the billing process.
- Resolves all correspondence received addressing problems with charges or payments in a timely and effective manner.
- Performs duties with a minimum of supervision, exhibits initiative and good judgement as well as thorough knowledge of ethical and legal billing procedures.
- Uses AIDET when working with patients and customers and exhibits excellent Customer Service skills.
- Serves as the organization’s liaison with patients or other payers who have questions or concerns on any of their Range Regional Health Service patient accounts.
- Provides backup for all positions in PFS.
- Demonstrates knowledge of and ability to perform basic duties of PFS staff.
- Performs assigned tasks efficiently and in a timely manner.
- Seeks instruction from Supervisor or manager as needed.
- Actively participates in RRHS continuous Process Improvements and Quality Initiatives.
- Performs other job-related duties as assigned.
- Recognizes billing issues/patterns & provides feedback as appropriate.
- Associate of Arts in a related field or
- Bachelor of Arts or
- 2 years Two or more years of recent hospital and/or clinic billing or equivalent experience