Billing Representative - Tanana Valley Clinic

careers-fhp; Fairbanks (AK); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Medical, Vision, Dental

401k with employer match

Tuition assistance

Student loan forgiveness

Onsite gym

Wellness programs

Discount programs

Paid time off

Job summary

Foundation Health Partners is seeking a Billing and Collections Specialist to coordinate patient billing and repayment activities across assigned areas, ensuring timely reimbursement. This role supports a team focused on accurate posting, claims research, and adherence to company policies.

The position emphasizes strong communication with patients and providers, multi-tasking, and attention to detail in a fast-paced environment.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• Requires knowledge of patient financial services, or financial collecting services or insurance industry experience.
• Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

Responsibilities

• Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, coordinating with staff and physician offices.
• Reconcile, balance and pursue account balances/payments/denials using payer remits, contracts, payer service, and company policies to maximize reimbursement.
• Research payments, denials and accounts to determine short/over payments, contract discrepancies, and internal/external errors; make appeals and corrections as needed.
• Build relationships with business units, hospital departments, or provider offices and educate internal/external customers to correct problems.
• Respond to incoming/outbound calls to resolve billing, payment and accounting issues; provide excellent customer service to patients and families.
• Work with patient financial services team to reduce Accounts Receivable balances and document data for payers.

Skills

Interpersonal skills

Oral communication

Written communication

Customer service

Education

High school diploma/GED

Tools

Office software

Word processing

Spreadsheet

Database software

Job description

Overview

This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payer claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner.

Pay & Benefits:

• Compensation: $20.07 to $28.90 wage based on experience and education
• Additional Pay: Shift Differential for weekends, Annual Increases, Paid Time Off
• Benefits: medical, vision, dental, 401k with employer match
• Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness
• Other Benefits: Onsite Gym, Wellness Programs, Discount programs
• Schedule:Full-time, 40 hours per week, 5x8 hour day shifts Monday through Friday

Responsibilities

• May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.
• As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payer remits, facility contracts, payer customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement.
• May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary.
• Builds strong working relationships with assigned business units, hospital departments or provider offices. identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients.
• Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.
• Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.
• Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payers accurately.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• Requires knowledge of patient financial services, or financial collecting services or insurance industry experience processes normally acquired over one (1) or more years of work experience.
• Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

• Additional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.