Patient Account Billing Specialist

• 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

Fairview Health Services