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Healthcare Billing Specialist II
2 months ago
Overview
MaineHealth is seeking a dedicated Patient Financial Services Associate II specializing in Hospital Billing. This role offers the flexibility of a fully remote work environment.
Position Overview
This position represents the second tier in the revenue cycle career trajectory within Patient Financial Services (PFS). The associate will be accountable for a designated set of patient accounts, which may encompass accurate billing, comprehensive training, and effective follow-up or resolution of insurance claim denials within established filing timelines. The role is pivotal in ensuring the successful completion and closure of accounts within 120 days post-service. A designated trainer will oversee the training and auditing requirements of the department. The associate will collaborate within a team-oriented framework, ensuring equitable distribution of workloads.
Responsibilities include conducting thorough account research to ascertain compliance with governmental regulations prior to claim submissions. The associate will contribute to the overall efficacy of Patient Financial Services by exhibiting adaptability, teamwork, and cooperation in a High-Performance Work Team (HPWT) setting, while maintaining high-quality output and productivity levels. Continuous learning in all facets of Patient Financial Services is encouraged to align with the growth trajectory of MaineHealth.
Essential Qualifications
- Education: High School diploma or GED preferred.
- Licenses/Certifications: Not applicable.
- Experience: Minimum of 9 months in a relevant healthcare setting, with a preference for experience in hospital or provider-based billing.
- Ability to thrive in a high-volume, fast-paced environment while managing and prioritizing multiple tasks effectively.
- Skills: Proficient keyboard and data entry skills are essential. Familiarity with Microsoft Word, Excel, email, and internet communication is required, along with the capability to work efficiently with electronic monitoring and systems.
- Demonstrated ability to resolve issues and work towards solutions independently or as part of a team. For those in training roles, experience or the ability to be trained in auditing and training is necessary.
- Proven expertise in at least one area (billing, collections, or healthcare accounts receivables training) for a single payer (hospital) or specialty (physician) is required.
- Specialized Knowledge: Preferred experience in hospital or provider-based billing.
- Familiarity with CPT, HCPCS, and ICD9/10 coding systems is advantageous.
Work Environment
This position is hybrid/remote.
About MaineHealth
MaineHealth is a comprehensive health system that encompasses hospitals, physician practices, long-term care facilities, home care agencies, and various support services. For more information about our system, please visit our website.
