Patient Financial Services Specialist II

Join to apply for the Patient Financial Services Specialist II role at Natividad Medical Center (NMC) Overview Natividad is currently seeking to fill one permanent full-time Patient Financial Services Specialist II. Under general supervision, the incumbent performs the full range of duties, and may do so on a rotational or specialization basis of assignment. The Patient Financial Services Specialist II is responsible for preparing patient accounts to generate and issue patient bills for services. This position interviews patients, evaluates patient financial resources, establishes payment terms, performs collections and related work as assigned. Responsibilities Reviews, verifies, obtains and corrects patient financial status and payor source information, medical diagnosis, laboratory and other diagnostic services information, hospital/clinic services and supplies, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of patient bills, and eligibility for coverage Enters data into and operates a computerized patient account system Researches and resolves missing or conflicting information Interviews and works with patients, families, and others regarding financial resources, eligibility for coverage, status and basis of charges, payment requirements, payment plans, collections, and related matters, in person, by telephone and by letter Works with other service providers, claim adjudicators, insurance companies, private payors, governmental payor sources, the County Revenue Recovery Division, and others to obtain, correct or provide information; verify eligibility; process patient accounts; verify procedures; initiate collection and/or resolve disputed, unprocessed, and other claims requiring follow-up Assembles pre-billing materials; prepares, generates and sends individual, insurance, governmental, crossover, and other bills for medical care related services; evaluates, modifies and resubmits bills Evaluates and processes bad debt accounts; performs collection and follow-up activities; refers uncollectible accounts to collection services Requests completion of additional forms or information for denied claims or special processing requirements Reconciles accounts; posts payments; adjusts balances to reflect denials, adjustments, shares-of-cost, payments, and other modifications to balances; prepares refund packages for approval Reviews billing documentation; resolves issues that would prevent accurate, prompt claim billing Runs computerized reports to search for missing or conflicting information Troubleshoots download problems; communicates problems and recommendations to supervisor for approval May work in a specialty area such as pre-billing, billing, or collections Minimum Qualifications Thorough Knowledge Of Federally Qualified Health Center billing procedures and operations Thorough Knowledge Of insurance, other private workers compensation, governmental and special payor requirements, procedures, codes and forms Thorough Knowledge Of hospital/clinic billing procedures and operations Thorough Knowledge Of sources and eligibility requirements for publicly-funded medical care payment programs Working Knowledge Clerical bookkeeping practices and procedures. General Clerical Office Practices and procedures, including operation of common office equipment and filing systems Current Procedural Terminology and other reference and resource materials related to patient account activities CPT coding procedures Some Knowledge Of Basic Medical Terminology and/or medical billing operations. Personal Computer operations. Skill and Ability To Perform arithmetical computations, comparisons and postings rapidly and accurately Perform data entry on a computer keyboard quickly and accurately Operate a 10 key adding machine quickly and accurately Accurately match and file materials using alphabetic and numeric systems Read and apply complex procedures and regulations Establish and maintain effective working relationships with a variety of individuals under potentially hostile or emotional circumstances Assemble pre-billing packages and prepare bills Evaluate, determine and approve eligibility for specialized publicly-funded medical care payment programs Prepare medical billing for electronic billing submission Evaluate patient payor sources; and follow-up on past due accounts Operate a patient accounts computer system Evaluate patient financial status and payor sources, establish payment plans and follow-up and collect past due accounts Read and apply complex procedures and regulations Experience/Education/Training The knowledge, skills and abilities listed above may be acquired through various types of experience, education or training, typically: One (1) year of experience performing duties directly related to patient account billing, patient financial resources evaluation, account collection or assessment of patient eligibility for specialized medical care financial programs OR One (1) year of experience at a level equivalent to Monterey County's Account Clerk OR Two (2) years of experience equivalent to Monterey County's Patient Financial Services Specialist Representative I Conditions Of Employment Natividad requires that all incumbents pass a pre-employment physical/medical assessment Natividad will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check Employees who drive on County business to carry out job related duties must possess a valid CA Driver License for the class vehicle driven Employees must have and show their original Social Security Card and a valid CA Driver License or CA State ID prior to the first day of work Incumbents may be required to work all shifts, including weekends and holidays Application Process APPLICATION SUBMISSION: A completed Monterey County Application may be obtained from and submitted to the Natividad Human Resources Office, 1441 Constitution Blvd., Bldg. 300, Salinas, CA. 93906, or on-line applications may be submitted at www.natividad.com; resume and license and/or certifications (if applicable) may be attached to your online application or emailed separately to: AscensionIL@natividad.com. Resumes will be accepted in addition to, but not in lieu of the required application materials. For more information or to obtain regular paper application materials please contact the Natividad HR, 1441 Constitution Blvd.,(831) 783-2700, M-F, 7:30 a.m.- 5:00p.m. Qualifications Assessment All licenses/certificates will be verified via primary source. Completed application materials will be competitively evaluated. Please note: The initial screening for this position uses ONLY the applicant's answers to the Supplemental Questions. The best-qualified applicants will be invited to participate further in the process. Eligibility List Applicants successful in the Qualifications Assessment process will be placed on an eligible list for possible final selection interview. This eligible list will be used to fill current and future permanent & temporary vacancies. Special Notes If you believe you possess a disability that would require test accommodation, please contact the HR Analyst for Natividad at (831) 783-2711. Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the United States. If you are hired into this classification in a temporary position, your salary will be hourly and you will not be eligible for the benefits listed above. Seniority Level Entry level Employment Type Full-time Job Function Accounting/Auditing and Finance Industries Hospitals and Health Care #J-18808-Ljbffr