Patient Financial Services Specialist II New Iberia, LA

2 weeks ago

New Iberia, United States Kaizen Lab Inc. 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 patient accounting system to the Cash Sheet and to the Banking Report.

Maintains the Medicare Bad Debt Report for cost reporting.

Maintains the Medicare Bad Debt Recoveries Log for cost reporting. Maintains the log of billed claims vs. insurance receipts by payer. Reconciles the daily build summary report to claims filed ensuring successful submission to payers.

Provides back up coverage to the following positions: Collections Coordinator, Reimbursement Specialist, Accounts Receivable Floater/Refund Clerk, Cashier, Patient Account Representative and PFS Floaters. ( *See below for full duties) EDUCATION/LICENSURE/CERTIFICATION: High School graduate or equivalent At least 3-5 years previous experience in hospital-based account receivables procedures. Has participated in problem solving work groups, understands and has demonstrated high levels of customer service skills. Excel and Word experience required. Some accounting related experience also preferred. PRINCIPLE TASKS/DUTIES/RESPONSIBILITIES: Ensures that all daily receipts posted into the hospital patient accounts system reconcile to the daily deposits recorded on the Cash Sheet for the monthly cash goal calculation. Maintains the Medicare Bad Debt Report for yearly cost reporting by the Accounting Department. Maintains the Medicare Bad Debt Recoveries log for yearly cost reporting by the Accounting Department. Maintains a log of billed claims vs. insurance receipts by payer for the Payer Goals Monthly Report. Reconciles the daily Gaffey Build Summary report to claims filed to ensure all claims were successfully submitted to payers. Audits one Medicare, Medicaid and Blue Cross remittance monthly verifying contractual adjustments posted reconcile to the remittance. Prepares the Write Off Audit report and audits a sample of write off sheets for adherence to write off policies. Submits findings to the PFS Manager for review with staff. Reviews and reconciles accounts in Pending status and accounts stuck in Lag to move them along in the billing process. Bills Iberia Parish Jail prisoner Industrial claims to Correct Care and follows up on outstanding balances. Researches denials to identify appropriate parish entity responsible Runs AR/Bad Balance Report and reconciles the out of balance accounts needing corrections. Runs OP/ER Rehab Inhouse report for Medicare billers and UHC-Workman’s Comp report for Commercial billers. Provides back up coverage to the following PFS positions: Collections Coordinator, Reimbursement Specialist, Accounts Receivable Floater/Refund Clerk, Cashier, Patient Account Representative and PFS Floaters. Reviews accounts and performs all Bad Debt Write Offs on qualifying accounts as per IMC Bad Debt Write Off Policy. Reports listing of accounts assigned to nThrive for reconciliation by nThrive. Reports payments posted to clinic GL accounts to clinic staff. Performs administrator duties on multiple payer websites and 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 the billers. Reports Medicaid Pending Aging to the Accounting Department and CFO. Performs Industrial Billing and reconciles all Industrial accounts. Works closely with Industrial clients assisting with questions and issues to facilitate prompt collections. (This includes LTAC) Reconciles the Daily Receipts Report to the hospital banking report provided by the Accounting department to ensure all deposits are posted in the patient accounts system. Reports Denial Write Offs by denial reason and payer. Prepares the Bad Debt Write Off Report for the PFS Manager to review with the CFO. (includes providing comments for accounts with balances greater than $5,000). Reports Bad Debt Recoveries to PFS Manager. Provides Accounting Department with Medicare daily remit totals. Prepares the Wound Care monthly reimbursement report for distribution to the Wound Ctr, Accounting dept, PFS Manager, CFO, and COO. Reports Past Timely Filing Write Offs to the PFS Manager for review. Spools Monthly Receipt List and moves to ADR in patient accounts system. Performs all other duties as assigned. Completely understands and follows the IMC Standards of Performance. 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

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