Billing Specialist

Primary Health Network; Pennsylvania; On-site; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization in Pennsylvania is seeking a Billing Specialist to assist with payment posting, patient collections, and billing-related issues. The position requires attention to detail, effective communication skills, and familiarity with patient accounting principles. Benefits include medical and dental coverage, paid time off, and more.

Benefits

Medical/Dental/Vision insurance

Employer Paid Short Term Disability

Retirement Plan

Paid Time Off

Fitness Center Membership Reimbursement

Qualifications

• 1 to 3 years experience in a related billing or clerical position.
• Knowledge of basic patient accounting and medical billing principles.

Responsibilities

• Manually post payments and ensure proper daily balancing of batch totals.
• Review patient balances to determine when collection efforts should take place.
• Assist with insurance verification and determine appropriate insurance classification.

Skills

Detail oriented

Effective communication skills

Data entry in a high-volume work environment

Education

High school diploma or equivalent

Job description

Overview

Mission To enhance the health and well-being of the communities we serve by fostering trust and ensuring that every individual has access to high-quality, compassionate, and exceptional healthcare. Vision We envision a future where healthcare is a transformative, personalized journey that embodies a comprehensive approach marked by unwavering integrity, respect for all individuals, continuous innovation, and a relentless commitment to quality. Job Description Billing Specialist (Full Time)
Location: Mercer County

Position Overview

This position will assist with payment posting, patient collections, sliding fee applications, secondary billing, and other duties, as assigned to support the billing department to function at a high level. This position will contribute to the patient care environment by identifying, analyzing, and problem-solving billing related issues when required.

Essential Functions

• Manually post payments and ensure proper daily balancing of batch totals
• Import auto posting files and prepare related batches
• Review patient balances to determine when collection efforts should take place. Implement collections policy and ensure appropriate notices are produced and sent out to patients in accordance with policies
• Field patient phone calls, take patient payments, set up payment plans, review and research patient accounts for purposes of identifying billing trends and maintaining a clean AR aging
• Educate and assist patients with the completion and submission of sliding fee discount program (SFDP) applications. Review and recommend for approval SFDP applications. Assist with SFDP renewal applications.
• Document all communications with Insurance carriers, patients, and other sources associated with the patients financial account
• Assist with insurance verification, run eligibilities, and determine appropriate insurance classification for uninsured or self-pay patients
• Must be able to accurately identify and populate account demographics
• Must be able to enter basic formulas and calculation in Excel for tracking purposes
• Must be able to attend staff meetings and any site requested
• Other duties, as assigned

Location and Hours of Position

PHN Billing Department: 118 Vine Avenue, Sharon, PA 16146. The general office hours for this position are Monday – Friday 8:30am – 5:00pm.

Compensation

Minimum starting wage is $16.00 per hour. PHN does recognize education, experience and location when determining wage.

Qualifications

• High school diploma or equivalent
• 1 to 3 years experience in a related billing or clerical position
• Knowledge of basic patient accounting and medical billing principles
• Data entry in a high-volume work environment
• Detail oriented
• Skill in establishing and maintaining effective communication skills and working relationships with other employees, patients, organizations, and the community

Benefits

• Medical/Dental/Vision (Employee and Family plans available immediately upon start date!)
• Employer Paid Short Term disability
• Employer Paid Life Insurance
• Retirement Plan
• Paid Time Off
• 8 Paid Holidays
• College Savings Plan
• Fitness Center Membership Reimbursement
• ID Shield & Legal Shield
• Volunteer Time Off Program

About The Network

The Primary Health Network is the largest Federally Qualified Health Center (FQHC) in the state of Pennsylvania. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring that every individual has access to high-quality, compassionate and exceptional healthcare. With Joint Commission Accreditation, we adhere to the highest standards of safety and quality in healthcare, ensuring top-notch services that surpass industry benchmarks. Additional recognitions include:

• Patient Centered Medical Home Accreditation
• Age Friendly Care Health System Participant
• HRSA Community Health Quality Recognitions in COVID-19 data reporting, advancing health information technology for quality, and continued implementation of the Primary Care Medical Home care model
• Ranked #5 in the Government & Non-Profit sector by Inspiring Workplaces of North America for 2023

Primary Health Network is an Equal Opportunity Employer (EOE)

Primary Health Network