Patient Financial Services Specialist II

Beloit Health System is looking to add a Patient Financial Service Specialist II to our Team - Commercial or Medicaid!

• Shift: 1st
• Schedule:
  
  6a - 6p (8 hours within this window)
• Hours per week: 40
• Benefits Status:
  Benefits Eligible
• Department:
  Beloit Clinic Insurance/Billing

The primary responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement for Commercial billing or Medicaid health plans, as well as related third-party payers and patients assigned secondary financial responsibility. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.

• Works daily electronic billing file and submits insurance claims to Medicaid or Commercial accounts and third-party payers
• Documents billing activity on relevant encounter(s) according to departmental standards; ensuring compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
• Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
• Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
• Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner
• Assists in reviewing and/or resolving credit balances
• Participates in general or special assignments and attends required training
• Demonstrates regular and reliable attendance to perform essential duties within the scope of position
• Other duties as assigned.

• High school diploma or equivalent required
• 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings
• Maintain ethical conduct and keep confidential personal and medical information about patients
• Reporting Relationship:
  Department Director .
• Ability to speak clearly and distinctly and to interact positively with patients, peers, and the public.