Billing Representative - Tanana Valley Clinic

Foundation Health; Fairbanks (AK); On-site; USD 28,000 - 40,000; Full time

Benefits offered by this job

Medical benefits

Vision benefits

Dental benefits

401k with employer match

Onsite gym

Wellness programs

Discount programs

Tuition assistance

Student loan forgiveness

Job summary

Foundation Health Partners in Alaska seeks a detail-oriented team member to coordinate patient billing and collections across payments, posting, denials, and payer research, ensuring timely reimbursement.

This full-time role requires a high school diploma and 1+ year in patient financial services; you will work with clinical and administrative staff, handle inquiries, and help reduce accounts receivable while upholding quality and service standards.

Qualifications

• High school diploma or GED.
• 1+ year experience in patient financial services or insurance collections.
• Ability to multi-task with minimal supervision.
• Strong interpersonal, oral, and written communication skills.
• Proficient with common office software (word processing, spreadsheets, databases).

Responsibilities

• Process payments, adjustments, claims, correspondence, refunds, denials, and payment plans accurately and timely.
• Reconcile, balance, and pursue account balances/payments/denials with payers and remits.
• Research payments and denials to identify discrepancies; make appeals as needed.
• Build relationships with internal units and provider offices; educate and correct issues.
• Respond to calls to resolve billing and accounting issues; provide excellent customer service.
• Work to reduce accounts receivable balances and days outstanding.
• Document and communicate with payers using the company systems.

Skills

Patient financial services

Multi-tasking

Communication skills

Education

High school diploma/GED

Tools

Office 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.