Billing and Collections Specialist
2 weeks ago
Hybrid Work Environment
POSITION OVERVIEW
The Billing and Collections Specialist is responsible for managing billing and collection processes for patients, encompassing various insurance types including Medicare, Medicaid, and commercial insurance. This role involves tracking multiple insurance claims to address any outstanding balances and assisting patients and their families with financial arrangements, including securing financial assistance from external agencies for eligible patients.
KEY RESPONSIBILITIES
- Conduct monthly audits of accounts receivable and credits that are over 45 days old, ensuring thorough documentation for productivity tracking.
- Handle an average of 30 accounts daily, totaling approximately 150 accounts weekly.
- Collaborate effectively with billing personnel to enhance the accuracy of primary and secondary claims submissions.
- Examine insurance Explanation of Benefits (EOBs) for possible processing discrepancies.
- Address denials and respond to inquiries within a two-day period.
- Ensure proper allocation of balances between insurance providers and patients.
- Assist patients with inquiries via phone or in-person interactions.
- Respond to audits and regulatory inquiries as required.
- Investigate credit balances for assigned insurance accounts.
- Provide education to staff regarding specific payers.
- Act as the designated representative for particular payers within the organization.
- Field patient questions concerning billing statements and inquiries.
- Maintain effective communication with other departments to facilitate timely corrections.
- Perform additional duties as assigned.
EDUCATIONAL BACKGROUND AND EXPERIENCE
- High school diploma or GED required.
- One to three years of experience in data entry, billing, and claims processing within a healthcare environment, or completion of a billing externship. Relevant education may substitute for experience.
- Experience in a multi-specialty clinic setting is preferred.
PREFERRED CERTIFICATIONS
- Billing certification from an accredited billing school.
- Certification in coding and/or billing may be accepted with demonstrated knowledge of healthcare billing processes.
SKILLS AND COMPETENCIES
- Proficient understanding of computerized practice management systems, ideally Cerner Electronic Health Record System.
- Ability to learn billing and collection systems utilized in rural health facilities and critical access hospitals.
- Strong communication skills to interact diplomatically with diverse groups, including staff, providers, and insurance companies.
- Demonstrated sensitivity to the patient population served.
- Capability to manage multiple assignments concurrently while adhering to deadlines.
- Ability to collaborate effectively in a team-oriented environment.
- Familiarity with HIPAA regulations as they pertain to medical and behavioral health billing.
- High level of accuracy and attention to detail is essential.
- Effective oral and written communication skills.
- Ability to handle sensitive inquiries or complaints with professionalism.
- Self-sufficient with minimal supervision.
- Proficient in computer applications and MS Windows software.
- Knowledge of Federally Qualified Health Care billing and reimbursement is advantageous.
- Understanding of Medicare and Medicaid guidelines.
- General knowledge of UB04 and HCFA1500 claim forms, both electronic and paper formats.
ADDITIONAL QUALIFICATIONS
- Bilingual skills (English/Spanish) are a plus.
- Experience in healthcare settings is highly preferred.
REPORTING STRUCTURE
- This position reports to the Patient Financial Services Director.
PHYSICAL DEMANDS
- Ability to sit, stand, and walk for extended periods.
- Capacity to view a computer screen for prolonged durations.
- Ability to perform repetitive hand and wrist motions for extended periods.
-
Anesthesia Care Specialist
7 days ago
Grants, New Mexico, United States Cibola General Hospital Full timeAnesthesia Care Specialist Job OverviewPOSITION SUMMARYThe Anesthesia Care Specialist is responsible for administering anesthesia and related care to patients undergoing various medical procedures, including surgical operations, childbirth, and pain management therapies. This role involves employing the nursing process through comprehensive data collection,...
-
Financial Counselor
4 days ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob Summary:Cibola General Hospital is seeking a highly skilled Financial Counselor to join our Patient Financial Services team. As a key member of our team, you will be responsible for providing exceptional financial experience to our patients, ensuring they understand their insurance benefits and financial liability.Key Responsibilities:Serve as the...
-
Behavior Change Specialist
3 days ago
Grants, New Mexico, United States Behavior Change Institute, LLC Full timeJob SummaryBehavior Change Institute, LLC is seeking a highly motivated and compassionate Behavior Change Specialist to join our clinical team. As a key member of our team, you will work closely with our Board Certified Behavior Analysts (BCBAs) to implement behavioral strategies and improve the quality of life for individuals with Autism Spectrum...
-
Financial Services Representative
6 days ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob SummaryCibola General Hospital is seeking a highly skilled and compassionate Financial Services Representative to join our team. As a key member of our Patient Financial Services department, you will play a critical role in providing exceptional financial experiences for our patients.Key ResponsibilitiesFinancial Assistance and Counseling: Provide...
-
Healthcare Practice Manager
1 week ago
Grants, New Mexico, United States Cibola General Hospital Full timePOSITION SUMMARY: The primary role of the Healthcare Practice Manager is to provide strategic leadership, oversee daily operations, and ensure effective management of the healthcare practice(s). This position also entails delegating responsibilities to staff members and supervising the various functions of the practice(s) to guarantee that objectives are...
-
Patient Financial Advisor
1 week ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob OverviewPOSITION SUMMARY:Under the supervision of the Patient Financial Services Director, the Financial Counselor plays a crucial role in ensuring patients have a seamless financial experience. This position involves guiding patients through the complexities of insurance benefits and potential financial responsibilities. Acting as the primary contact...
-
Patient Financial Advisor
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeJOB SUMMARY: Under the supervision of the Patient Financial Services Director, the Patient Financial Advisor plays a crucial role in ensuring patients have a seamless financial experience by assisting them in understanding their insurance benefits and potential financial responsibilities. The Patient Financial Advisor serves as the primary contact for...
-
Patient Financial Advisor
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeJOB SUMMARY: Under the supervision of the Patient Financial Services Director, the Patient Financial Advisor plays a crucial role in ensuring that patients have a seamless financial experience by assisting them in understanding their insurance benefits and potential financial responsibilities. The Patient Financial Advisor serves as the primary contact for...
-
Patient Financial Advisor
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob OverviewPOSITION SUMMARY:Under the supervision of the Patient Financial Services Director, the Financial Counselor plays a crucial role in ensuring patients have a seamless financial experience. This position involves guiding patients through the complexities of insurance benefits and potential financial responsibilities. Acting as the primary contact...
-
Patient Financial Advisor
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeJOB SUMMARY: Under the supervision of the Patient Financial Services Director, the Patient Financial Advisor plays a crucial role in ensuring that patients have a seamless financial experience. This position involves assisting patients in understanding their insurance benefits and potential financial responsibilities. The Patient Financial Advisor serves as...
-
Patient Financial Advisor
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob OverviewPOSITION SUMMARY:Under the supervision of the Patient Financial Services Director, the Financial Counselor plays a crucial role in ensuring patients have a seamless financial experience. This position involves guiding patients through the complexities of insurance benefits and potential financial responsibilities. The Financial Counselor serves...
-
Patient Financial Advocate
6 days ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob Summary:Cibola General Hospital is seeking a highly skilled Financial Services Representative to join our team. As a Financial Services Representative, you will play a critical role in providing patients with a positive financial experience by helping them navigate and understand their insurance benefits and potential financial liability.You will serve...
-
Financial Services Representative
6 days ago
Grants, New Mexico, United States Cibola General Hospital Full timeJob SummaryCibola General Hospital is seeking a highly skilled Financial Services Representative to join our team. As a Financial Services Representative, you will play a critical role in providing patients with a positive financial experience by helping them navigate and understand their insurance benefits and potential financial liability.Key...
-
Certified Respiratory Care Specialist
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeOverview:Respiratory Therapy is a vital Allied Health Science focused on the prevention and management of pulmonary disorders. At Cibola General Hospital, Respiratory Practitioners are integral members of the healthcare team, providing care in various settings including critical care units, general wards, emergency services, and pulmonary function...
-
Licensed Respiratory Care Specialist
2 weeks ago
Grants, New Mexico, United States Cibola General Hospital Full timeOverview: The field of Respiratory Therapy is a vital component of Allied Health Sciences, focusing on the prevention and management of pulmonary disorders. At Cibola General Hospital, Respiratory Therapists engage in various settings including the adult critical care unit, general patient floors, emergency services, and the pulmonary function lab. They...
-
CNA - Resident Care Specialist
1 week ago
Grants, New Mexico, United States Good Samaritan Society Full timePosition OverviewMake a Difference in Senior CareJoin our dedicated not-for-profit organization committed to providing exceptional housing and services to seniors, ensuring quality care in a compassionate environment.Facility: Good Samaritan Society Location: Various Locations Shift: 12-Hour Day Shifts Job Schedule: Full-Time Role SummaryThe Certified...
-
Medical Billing and Collections Specialist
1 week ago
Grants Pass, Oregon, United States Cibola General Hospital Full timeJob Title: Patient Financial Services RepresentativeCibola General Hospital is seeking a highly skilled Patient Financial Services Representative to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the accurate and timely processing of patient claims.Key Responsibilities:Account Management: Maintain and...
-
Cash Posting Specialist
2 months ago
Grants, United States Cibola General Hospital Full timeJob DescriptionJob DescriptionJOB SUMMARY:Under the direction of the Patient Financial Services Supervisor, The PFS Cash Posting Specialist is responsible for accurate collection of patient payments and accurately posting of cash and credit deposits by deposit date into the facility EHR system.PRIMARY FUNCTIONS:1. Daily balancing of cash drawer and...
-
Cash Posting Specialist
3 months ago
Grants, United States Cibola General Hospital Full timeJOB SUMMARY: Under the direction of the Patient Financial Services Supervisor, The PFS Cash Posting Specialist is responsible for accurate collection of patient payments and accurately posting of cash and credit deposits by deposit date into the facility EHR system. PRIMARY FUNCTIONS: 1. Daily balancing of cash drawer and conducting daily cash...
-
Cash Posting Specialist
1 week ago
Grants, United States Disability Solutions Full timeJOB SUMMARY: Under the direction of the Patient Financial Services Supervisor, The PFS Cash Posting Specialist is responsible for accurate collection of patient payments and accurately posting of cash and credit deposits by deposit date into the facility EHR system. PRIMARY FUNCTIONS: 1. Daily balancing of cash drawer and conducting daily cash...
-
Cash Posting Specialist
1 week ago
Grants, United States Disability Solutions Full timeJOB SUMMARY: Under the direction of the Patient Financial Services Supervisor, The PFS Cash Posting Specialist is responsible for accurate collection of patient payments and accurately posting of cash and credit deposits by deposit date into the facility EHR system. PRIMARY FUNCTIONS: 1. Daily balancing of cash drawer and conducting daily cash...
-
Culinary Specialist
3 days ago
Grants Pass, Oregon, United States Shari's Cafe and Pies Full timeJob SummaryWe are seeking a skilled Culinary Specialist to join our team at Shari's Cafe and Pies. As a key member of our kitchen staff, you will be responsible for preparing, cooking, and presenting high-quality food products to our customers.Key ResponsibilitiesFood Preparation: Consistently prepare and cook all food items to meet our high standards of...
-
Administrative Support Specialist
1 week ago
Grants Pass, Oregon, United States State of Oregon Full timeJob Overview: OREGON YOUTH AUTHORITYOffice Specialist 2 - Recruitment AssistanceLocation: Rogue Valley Youth Correctional FacilityBecome an integral part of the Rogue Valley Youth Correctional Facility team, operating under the Oregon Youth Authority, as a permanent, full-time Recruitment Assistance Specialist. In this essential position, you will deliver...
-
Office Specialist 2
3 months ago
Grants Pass, United States State of Oregon Full timeJob Description: OREGON YOUTH AUTHORITYOffice Specialist 2 - Hiring SupportGrants Pass – Rogue Valley Youth Correctional FacilityJoin the dynamic team at Rogue Valley Youth Correctional Facility, within the Oregon Youth Authority, as a permanent, full-time Hiring Support Specialist. In this crucial role, you will be responsible for providing exceptional...
-
Customer Service Specialist
3 weeks ago
Grants Pass, United States Abacus Full timeDescription/Comment: Job title: Customer Service Specialist Location: 557 NE Westbrook, Grants Pass, OR 97526 Pacific Time Zone 100% Onsite but possible future Hybrid Work Hours: 6:30- 3:30 or 7:00 - 4:00 I am looking for another temp for my Strategic CSR team. My preference would be to have someone in office in Grants Pass. Requisition Details # of...
-
Wildfire Incident Response Specialist
2 weeks ago
Grants Pass, Oregon, United States PacifiCorp Full timeOverviewPacifiCorp is dedicated to fostering a culture that prioritizes customer service excellence, environmental stewardship, and a commitment to diversity, equity, and inclusion.Role SummaryThe Emergency Management Operational Response Specialist plays a crucial role in the coordination and communication of reported incidents from various sources,...
-
Email Campaign Coordination Specialist
2 weeks ago
Grants Pass, Oregon, United States Fire Mountain Gems and Beads Full timeWe are looking for a dedicated and meticulous Email Campaign Coordination Specialist to become a vital part of our Digital Sales marketing team, focusing on developing exceptional email marketing strategies. Key Responsibilities:Design and code email marketing campaigns and templates, ensuring they are optimized for maximum engagement and conversion...
-
Licensed Respiratory Care Specialist
2 weeks ago
Grants, United States Cibola General Hospital Full timeOverview:The role of a Respiratory Therapist is essential in the management and treatment of patients with respiratory conditions. At Cibola General Hospital, Respiratory Therapists are integral members of the healthcare team, providing care in various settings including critical care units, emergency departments, and pulmonary function laboratories.Key...
-
Financial Counselor
3 months ago
Grants, United States Cibola General Hospital Full timeJob DescriptionJob DescriptionJOB SUMMARY:Under the direction of the Patient Financial Services Director, Financial Counselor is responsible for providing patients with a positive financial experience by helping patients navigate and understand insurance benefits and potential financial liability. Financial Counselors are the patient’s point of contact for...
-
Financial Counselor
3 months ago
Grants, United States Cibola General Hospital Full timeJOB SUMMARY: Under the direction of the Patient Financial Services Director, Financial Counselor is responsible for providing patients with a positive financial experience by helping patients navigate and understand insurance benefits and potential financial liability. Financial Counselors are the patient's point of contact for financial assistance...
-
Licensed Respiratory Care Specialist
2 weeks ago
Grants, United States Cibola General Hospital Full timeOverview:The following outlines the essential skills, attributes, and qualifications required for the position of Registered Respiratory Therapist at Cibola General Hospital.Role Summary:Respiratory Therapy is a vital Allied Health Science focused on the prevention and management of pulmonary conditions. Respiratory Therapists at Cibola General Hospital...
-
Certified Respiratory Care Specialist
2 weeks ago
Grants, United States Cibola General Hospital Full timeOverview:The following details outline the essential skills, attributes, and qualifications required for the position of Registered Respiratory Therapist at Cibola General Hospital.Role of Respiratory Therapy:Respiratory Therapy is a vital Allied Health Science focused on the prevention and management of pulmonary conditions. At Cibola General Hospital,...
-
Certified Respiratory Care Specialist
2 weeks ago
Grants, United States Cibola General Hospital Full timeOverview:The following outlines the essential skills, attributes, and qualifications required for the position of Registered Respiratory Therapist at Cibola General Hospital.Role of Respiratory Therapy:Respiratory Therapy is a vital Allied Health Science focused on the prevention and management of pulmonary diseases. Practitioners in this field at Cibola...
-
Emergency Management Response Specialist
3 days ago
Grants Pass, Oregon, United States PacifiCorp Full timeJob SummaryPacifiCorp is seeking a highly skilled Emergency Management Response Specialist to join our team. As a key member of our emergency management organization, you will play a critical role in coordinating and disseminating reported incidents, providing situational awareness, and communicating with field responders and emergency management duty...
-
Emergency Management Response Specialist
2 days ago
Grants Pass, Oregon, United States PacifiCorp Full timeJob SummaryPacifiCorp is seeking a highly skilled Emergency Management Response Specialist to join our team. As a key member of our Power Delivery department, you will play a critical role in coordinating and disseminating reported incidents, providing situational awareness, and communicating with field responders and emergency management teams.Key...
-
Emergency Management Response Specialist
3 days ago
Grants Pass, Oregon, United States PacifiCorp Full timeJob SummaryPacifiCorp is seeking a highly skilled Emergency Management Response Specialist to join our team. As a key member of our emergency management organization, you will play a critical role in coordinating and disseminating information related to reported incidents, providing situational awareness, and communicating with stakeholders in real-time.Key...