Patient Billing Specialist Job at Talkiatry

Patient Billing Resolution Specialist

Robert Half is seeking skilled, customer-oriented Patient Billing Resolution Spe...

Location

United States , Denver

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma/GED
Minimum 2 years of medical insurance billing and denials
Excellent communication and problem-solving skills
Experience with appeals and denials

Job Responsibility

Oversee the Coordination of Benefits to assist patients with managing billing and denials
Act as liaison between patients and insurance companies
Handle high-volume communication: letters, text messages, and three-way calls
Investigate accounts thoroughly to achieve optimal resolution—primarily getting insurance to pay claims
Maintain documentation and patient files through the resolution process

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Patient Billing Resolution Specialist

Robert Half is seeking skilled, customer-oriented Patient Billing Resolution Spe...

Location

United States , Atlanta

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma/GED
Minimum 2 years of medical insurance billing and denials
Excellent communication and problem-solving skills
Experience with appeals and denials

Job Responsibility

Oversee the Coordination of Benefits to assist patients with managing billing and denials
Act as liaison between patients and insurance companies
Handle high-volume communication: letters, text messages, and three-way calls
Investigate accounts thoroughly to achieve optimal resolution—primarily getting insurance to pay claims
Maintain documentation and patient files through the resolution process

What we offer

medical, vision, dental, and life and disability insurance
401(k) plan

Fulltime

Patient Financial Specialist - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred.

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements
Compliant with all CHRISTUS Health, payer, and government regulations

Fulltime

Patient Financial Specialist - Patient Financial Services

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
Post HS education preferred
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred
None required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responsible to perform the necessary research in order to determine proper governmental requirements prior to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution

Fulltime

Patient Financial Specialist - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalent years of experience required
1-3 years of experience preferred
Experience working within a multi-facility hospital business office environment preferred
College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience
Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred
Experience with Medicare & Medicaid billing processes and regulations preferred
Understanding of Medicare language
Knowledge in locating and referencing CMS and/or Medicare Regulations preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics
Ensures PFS departmental quality and productivity standards are met
Collects and provides patient and payor information to facilitate account resolution
Maintains an active working knowledge of all Government Mandated Regulations as it pertains to claims submission
Responds to all types of account inquires through written, verbal, or electronic correspondence
Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers
Maintains working knowledge of all functions within the Revenue Cycle
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution
Meets or exceeds customer expectations and requirements, and gains customer trust and respect

Fulltime

Patient Financial Specialist Lead - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalency required
Post HS education preferred
5-7 years of experience preferred
Demonstrated success working in a team environment focused on meeting organization goals and objectives required
Experience in role requirements as outlined in job description for specific area of responsibility preferred
College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience
Must have an understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred
Experience working within a multi-facility hospital business office environment preferred
None required

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network
Provide on-the-job training as needed and provide a source of knowledge for staff inquiries
Demonstrates a strong understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures
Approve or deny requested adjustments and refunds within role thresholds
Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned
Remain flexible if duties are reassigned, which may involve transferring to a more appropriate unit in order to best serve PFS and CHRISTUS Health
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations
Ensures quality and productivity standards are met or exceeded
Appropriately documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures

Fulltime

Patient Financial Specialist Lead - Patient Financial Services

The associate is responsible for the duties and services that are of a support n...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

HS Diploma or equivalency required
5-7 years of experience preferred
Demonstrated success working in a team environment focused on meeting organization goals and objectives required
Experience in role requirements as outlined in job description for specific area of responsibility preferred
College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience
Must have an understanding of alternative Business Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred
Experience working within a multi-facility hospital business office environment preferred

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Functions as a subject matter expert in support of other PFS team members and other departments/facilities within the CHRISTUS Health network
Provide on-the-job training as needed and provide a source of knowledge for staff inquiries
Demonstrates a strong understanding of payer benefits requirements, on-line claims status, submission, billing, cash application, and reconciliation procedures
Approve or deny requested adjustments and refunds within role thresholds
Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned
Remain flexible if duties are reassigned, which may involve transferring to a more appropriate unit in order to best serve PFS and CHRISTUS Health
Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution while maintaining account integrity and compliance with payer and/or government regulations
Ensures quality and productivity standards are met or exceeded
Appropriately documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures

Fulltime

Medical Billing Specialist

Review and interpret Explanation of Benefits (EOBs) to determine: -Services bill...

Location

United States , Riviera Beach

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

1+ years of medical collections or AR experience
Strong understanding of EOBs and insurance claim processing
Experience working in EPIC (highly preferred)
Ability to navigate denials and payer communications effectively
Detail-oriented with strong problem-solving skills
Comfortable working in a fast-paced, growth-oriented environment

Job Responsibility

Review and interpret Explanation of Benefits (EOBs) to determine: -Services billed -Insurance coverage and adjustments -Payment amounts -Patient responsibility
Manage and work denial and collections queues within EPIC
Investigate and resolve denied or underpaid claims promptly
Follow up with insurance companies to resolve discrepancies and secure payment
Ensure timely resubmission of claims and appeals to avoid timely filing issues
Maintain accurate documentation of collection activity within the system
Support overall Accounts Receivable (AR) performance and aging goals

What we offer

Business casual dress code (jeans permitted)
Opportunity for career growth and advancement
Health, Dental, and Vision insurance
401(k)
PTO accrual (beginning after 90 days)

Fulltime

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Patient Billing Specialist

Job Description

Job Responsibility

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