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Healthcare Financial Services Associate II

2 months ago

Juneau, Alaska, United States South East Alaska Regional Health Consortium Full time

Compensation: $33.71 per hour

At South East Alaska Regional Health Consortium, we are dedicated to the health and well-being of the Southeast Alaska community. Our employees are our greatest asset, and we prioritize their growth and development within our organization.

Joining SEARHC means embarking on a rewarding career path. We provide a comprehensive benefits package, including retirement plans, paid time off, parental leave, health, dental, and vision insurance, life insurance, and both short and long-term disability coverage, among other perks.

Key Responsibilities:

  • Billing Validation:
    • Ensures accuracy in charge codes, billing processes, and claims adjudication according to established federal, state, and private billing guidelines.
    • Stays informed about evolving payer-specific billing regulations.
    • Assists with special billing projects as needed.
    • Identifies and resolves billing discrepancies and errors.
  • Customer Service:
    • Addresses patient inquiries regarding billing and takes appropriate actions to resolve account issues.
    • Validates patient balances and follows up on self-pay accounts in accordance with the Consortium's financial assistance policies.
    • Tracks and communicates with patients regarding overdue self-pay accounts and facilitates repayment plans.
    • Works with financial counselors to explore alternative funding options for patients.
  • Payment Reconciliation:
    • Records all transactions in the organization's cash log and allocates funds to the correct electronic health record (EHR) system or general ledger.
    • Ensures all transactions are balanced with daily deposits.
    • Investigates and resolves issues related to unallocated cash and misapplied payments.
    • Collaborates effectively with the cash posting team to ensure timely processing of funds.
  • Mail Processing:
    • Organizes and manages incoming correspondence, including explanation of benefits (EOBs), letters, and denials.
    • Maintains records of denials and coordinates with billing for appropriate follow-up.
    • Documents account history as necessary for the billing team.
    • Directs other correspondence to the appropriate staff for action.
  • Refund Management:
    • Facilitates insurance and patient refunds, ensuring all documentation is properly logged and scanned.
    • Communicates important updates and strategies from senior management.
Additional Responsibilities:
  • Contributes to the development and revision of organizational procedures and documentation.
  • Performs general clerical tasks and other routine duties as assigned.
Supervisory Role:
  • This position does not include supervisory responsibilities.
Qualifications:

Education:
  • High school diploma or equivalent is required.
  • Associate's degree in a related field is preferred.
  • Certification in medical billing (CRCR, CRCS, or CDBS) is preferred and must be in good standing for employer-sponsored certification.
Experience:
  • A minimum of two years of experience in billing, collections, or cash posting is required.
Knowledge, Skills, and Abilities:

Knowledge:
  • Understanding of clinic or hospital billing processes and medical terminology.
  • Familiarity with payer remittances and basic knowledge of CPT, HCPCS, and revenue codes.
  • Awareness of major insurance companies' billing policies to ensure compliance.
  • Knowledge of specific specialties within the billing domain.
  • Experience in reconciling payments with accounts receivable.
Skills:
  • Proficient in keyboarding and 10-key data entry.
  • Strong problem-solving and decision-making abilities.
  • Effective verbal and written communication skills.
Abilities:
  • Ability to work collaboratively within cross-functional teams.
  • Capability to thrive in a fast-paced environment.
Technical Skills:
  • Proficient in Microsoft Office Suite, including Word, Excel, and PowerPoint.
Travel Requirements: Minimal travel expected (less than 10%).

Safety Responsibilities: Employees are expected to adhere to safety protocols, report accidents promptly, and cooperate in safety investigations.

Work Schedule: OT 8/40

If you are passionate about making a difference in healthcare and enjoy working with a dedicated team, consider a career with us.