Patient Financial Billing Specialist - Medical Billing
Description
POSITION SUMMARY
Responsible for various functions, including patient financial support and education of available resources, reviewing of self-pay accounts for active insurance of RINA, data entry, personal payment posting, hospital transfer posting, collection agency payment posting, customer service, posting accurate adjustments, reviewing Financial Assistance applications for completeness prior to sending to supervisor for approval, timely review of accounts with patient responsibility and following policy for collection procedure, review accounts for patient refund processing. Cash/check reconciliation and cash log processing.
JOB SPECIFIC ESSENTIAL FUNCTIONS
1. Meets with patients who are in need of financial resources.
2. Posts personal payments and collection agency payments.
3. Review of weekly refund batch for accuracy.
4. Filing/refiling of claims if insurance is located or corrected after initial billing process.
5. Responsible for working Athena worklists; Bad Request, Balance Review, HOLD, Medicaid Balance, Bill patient and Local 64 in A/R bucket.
6. Responsible for working Athena worklists; Medicaid Pending and Overpays and Refunds.
POSITION QUALIFICATIONS
Education
Minimum \u2013 High school graduate or equivalent
Preferred \u2013 Post high school education
Related Experience
Minimum \u2013 Six months medical billing experience or related clerical experience, with an understanding of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans, as well as an understanding of ICD-10 and CPT coding and medical terminology. Completion of medical billing program.
Preferred \u2013 Two years medical billing or related clerical experience and completion of medical billing program with billing certification.
SHIFT/LOCATION
-40 hours per week, full time, days, no weekends, benefit eligible
- PLEASE NOTE: this position will require travel/commute to interview, onboard, attend orientation and train in the Muskegon, MI Billing Office, then position will transition to sit in the Kentwood/Grand Rapids, MI Billing Office.