PATIENT FINANCIAL SERVICES SPECIALIST II

4 weeks ago

New Iberia LA USA, United States IBERIA MEDICAL CENTER Full time
:Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients, physicians and employees. We've been caring for our community for over 60 years and offer many diverse career paths. Our new employees experience opportunities to learn and grow while caring for their families, friends and neighbors.

IMC is currently hiring a full time Patient Financial Services (PFS) Specialist. Duties for this position include: Reconcile daily receipts posted in the patientaccounting system to the Cash Sheet and to the Banking Report. Maintains the Medicare Bad Debt Report forcost reporting. Maintains the MedicareBad Debt Recoveries Log for cost reporting. Maintains the log of billed claimsvs. insurance receipts by payer. Reconciles the daily build summary report toclaims filed ensuring successful submission to payers. Provides back up coverage to the followingpositions: Collections Coordinator, Reimbursement Specialist, AccountsReceivable Floater/Refund Clerk, Cashier, Patient Account Representative andPFS Floaters. (*See below for full duties)

EDUCATION/LICENSURE/CERTIFICATION:
  • High School graduate or equivalent
  • Atleast 3-5 years previous experience in hospital-based account receivablesprocedures.
  • Has participated in problemsolving work groups, understands and has demonstrated high levels of customerservice skills.
  • Excel and Wordexperience required.
  • Some accounting related experience alsopreferred.

PRINCIPLE TASKS/DUTIES/RESPONSIBILITIES:
  • Ensures that all daily receipts posted into the hospital patientaccounts system reconcile to the daily deposits recorded on the Cash Sheet forthe monthly cash goal calculation.
  • Maintains the Medicare Bad Debt Report for yearly costreporting by the Accounting Department.
  • Maintains the Medicare Bad Debt Recoveries log for yearlycost reporting by the Accounting Department.
  • Maintains a log of billed claims vs. insurance receipts bypayer for the Payer Goals Monthly Report.
  • Reconciles the daily Gaffey Build Summary report to claimsfiled to ensure all claims were successfully submitted to payers.
  • Audits one Medicare, Medicaid and Blue Cross remittancemonthly verifying contractual adjustments posted reconcile to the remittance.
  • Prepares the Write Off Audit report and audits a sample ofwrite off sheets for adherence to write off policies. Submits findings to the PFS Manager forreview with staff.
  • Reviews and reconciles accounts in Pending status andaccounts stuck in Lag to move them along in the billing process.
  • Bills Iberia Parish Jail prisoner Industrial claims toCorrect Care and follows up on outstanding balances. Researches denials to identify appropriateparish entity responsible
  • Runs AR/Bad Balance Report and reconciles the out ofbalance accounts needing corrections.
  • Runs OP/ER Rehab Inhouse report for Medicare billers andUHC-Workman's Comp report for Commercial billers.
  • Provides back up coverage to the following PFS positions:Collections Coordinator, Reimbursement Specialist, Accounts ReceivableFloater/Refund Clerk, Cashier, Patient Account Representative and PFS Floaters.
  • Reviews accounts and performs all Bad Debt Write Offs onqualifying accounts as per IMC Bad Debt Write Off Policy.
  • Reports listing of accounts assigned to nThrive forreconciliation by nThrive.
  • Reports payments posted to clinic GL accounts to clinicstaff.
  • Performs administrator duties on multiple payer websitesand portals, granting access, managing users, etc. for PFS, Registration,Scheduling and some clinic staff.
  • Prepares Exhibit B for the DHS report when due.
  • Prepares the Aged Trial Balance spreadsheets for thebillers.
  • Reports Medicaid Pending Aging to the Accounting Departmentand CFO.
  • Performs Industrial Billing and reconciles all Industrialaccounts. Works closely with Industrialclients assisting with questions and issues to facilitate prompt collections.(This includes LTAC)
  • Reconciles the Daily Receipts Report to the hospitalbanking report provided by the Accounting department to ensure all deposits areposted in the patient accounts system.
  • Reports Denial Write Offs by denial reason and payer.
  • Prepares the Bad Debt Write Off Report for the PFS Managerto review with the CFO. (includes providingcomments for accounts with balances greater than $5,000).
  • Reports Bad Debt Recoveries to PFS Manager.
  • Provides Accounting Department with Medicare daily remittotals.
  • Prepares the Wound Care monthly reimbursement report fordistribution to the Wound Ctr, Accounting dept, PFS Manager, CFO, and COO.
  • Reports Past Timely Filing Write Offs to the PFS Managerfor review.
  • Spools Monthly Receipt List and moves to ADR in patientaccounts system.
  • Performs all other duties as assigned.
  • Completely understands and follows the IMC Standards ofPerformance.

COMPETITIVE BENEFITS:
  • Great medical benefit plan
  • Early access to earned wages
  • Participation in robust state pension plan
  • Dental, vision, life insurance, disability and more

IBERIA MEDICAL CENTER is an EEO employer - M/F/Vets/Disabled

IBERIA MEDICAL CENTER is an EEO employer - M/F/Vets/Disabled

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