Billing and Collections Representative - ADMIN GRACE MSO SRV

Grace Health System; Lubbock, Northern (TX, KY); Hybrid; USD 42,000 - 60,000; Full time

Benefits offered by this job

Comprehensive benefits

Professional development

On-site work

Job summary

Providence is seeking a Patient Accounting Specialist to perform billing, collection and follow-up for direct, third-party and government patient accounts in a physician office setting. You will identify claim denial trends, ensure accurate postings and route complex inquiries to the right teams.

The role emphasizes research of payer guidelines to maintain revenue integrity, comply with reporting requirements, and support leadership with timely analyses.

Qualifications

• 2 years Patient Accounting experience in a physician office, hospital, or medical collections or equivalent knowledge and ability to execute essential functions of this job description.
• Extensive Customer Service Skills as well as computer application.
• Third party follow-up, government follow-up, patient collections, account resolution, billing, and/or cash applications.

Responsibilities

• Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts.
• Identify and respond to claim denial trends, postings errors and complex inquiries, routing appropriately.
• Analyze reporting to ensure compliance and maintain revenue integrity.

Skills

Patient accounting

Customer service

Follow-up (third-party/government)

Education

1 year college coursework

Job description

Description

Performs all types of billing, collection and follow up functions for direct, third party and government patient accounts and serves as a resource and trainer to others in the area with minimal supervision. This individual is able to readily identify and respond to claim denial trends, postings error trends and/or complex inquiry calls for the purpose of routing. This individual identifies correct coding initiative via thorough research of the claim through use of available payer management guidelines and systems in order to maintain highest integrity of the Medical Group as well as to prevent filing deadline that would otherwise hinder revenue intake. This individual is responsible for analysis of various reporting to the appropriate leader to ensure compliance.

Providence caregivers are not simply valued - they're invaluable. Join our team at Covenant Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 2 years Patient Accounting experience in a physician office, hospital, or medical collections or equivalent knowledge and ability to execute essential functions of this job description.

• Extensive Customer Service Skills as well as computer application.

• Third party follow-up, government follow-up, patient collections, account resolution, billing, and/or cash applications.

Preferred Qualifications:

• Coursework/Training 1 year of college. Or equivalent education/experience.

• Business experience.

• Medical Business Office experience in a physician office or hospital.

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way". Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.