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Order Processing/Customer Service Specialist
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Program Director
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IT specialist
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Construction Manager for Electric Mobility
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Resident Physician
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Tree Trimming Crew Foreperson
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Physician - Family Medicine
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Pediatrician
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Hotel Guest Services
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Hotel Front Desk
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Lead Advanced Field Install Technician
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Hotel Guest Services
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Special Education Teacher
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Fleet Jobs Morrisville, United StatesPosition Summary · We are excited to launch a new position, District Human Resources Manager, to support our district field teams and collaborate with leadership to execute and implement human capital strategy. At Penske, we look for dedicated individuals who thrive in a collabor ...
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Account Specialist
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Production Specialist
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Invoicing Specialist
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Clinical Affairs Manager
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Digital Marketing Specialist
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patient financial services specialist - Morrisville, United States - Lamoille Health Partners
Description
Job Description
Job DescriptionJOB SUMMARY:
Billing, posting hospital/nursing home charges, posting payments, if necessary, claim follow-up, customer service, collections and data entry.
ESSENTIAL FUNCTIONS: (Majority of duties, but not meant to be all-inclusive nor prevent other duties from being assigned as necessary.)
1. Bill all insurances electronically or via paper as necessary. High level of proficiency for use of navigation and reporting within multiple electronic systems both internally and that of various payors required.
2. Review, correct and mail paper claims.
3. Create batches for submission.
4. Utilize and create systems to identify and track progress of delayed claims. Correct and re-file as necessary.
5. Review denials from insurance companies and follow up appropriately by research, corrections, phone calls and re-bills.
6. Review status of unpaid claims on a monthly basis and follow up as necessary.
7. Enter demographics for patients, posting charges to the appropriate account.
8. Keep PFS Manager informed of insurance denial trends and other problems associated with collections, billing, coding and insurance.
9. Post insurance and personal payments in accurate and timely manner.
10. Make and report deposits and journal entries to PFS Manager daily or as otherwise established.
11. Follow up on returned mail for address changes.
12. Evaluate internal electronic system workflows and capabilities and recommend workflow changes as necessary to increase effectiveness and efficiency of current processes.
13. Document current workflows as necessary.
14. Supports the coordination of activities with other staff in order to support the organizational mission.
15. Abide by the organization's Compliance Program and Standards of Conduct during term of employment.
16. This is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned as deemed necessary.
KNOWLEDGE AND EXPERIENCE: (Minimum education, experience, technical and communication skill levels and licenses/certificates normally required to perform the duties of this position.)
1. High School Diploma or equivalent required.
2. CRCR certification within 18 months of hire unless already in process.
3. Minimum 2-3 years experience working in a medical setting in customer service, collections, or coding and billing role required.
4. Demonstrated proficiency and familiarity with using a computer and navigating the internet required.
5. Strong typing skills required.
6. Excellent personal and interpersonal skills required.
7. Demonstrated willingness to pursue educational courses in medical terminology, coding and customer service skills.
8. Power user of internal and external electronic billing systems required.
9. Demonstrated ability to perform multiple tasks simultaneously with accuracy and within time constraints.
