Patient Financial Services Specialist II

beloithealthsystem; Beloit (WI); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Beloit Health System is seeking an On-Site Patient Financial Service Specialist II to join Beloit Clinic Insurance/Billing. The role performs accurate patient billing, submits claims to Medicare/Medicare Advantage and other payers, and pursues aged account resolution with attention to compliance and customer service.

Strong communication and confidentiality are essential. Applicants should have a high school diploma and 4+ years in customer service or business-office settings; schedule is 6a–6p

Qualifications

• High school diploma or equivalent required.
• 4+ years of customer service and/or business office experience preferred in hospital/professional settings.
• Maintain confidentiality of patient information and follow department policies.

Responsibilities

• Submit insurance claims to Medicare, Medicare Advantage, and third-party payers.
• Document billing activity according to departmental standards and report compliance issues.
• Correct payer reports' errors to optimize electronic claims submission.
• Pursue prompt follow-up on aged accounts and assist with written appeals.
• Monitor claim rejections and report trends to the lead biller and leadership.
• Provide excellent customer service to patients and third-party payers.
• Review and resolve credit balances.
• Attend required training and maintain regular attendance.
• Perform other duties as assigned.

Skills

Customer service

Medical billing

Communication

Education

High school diploma or equivalent

Job description

Beloit Health System is looking to add an On-Site Patient Financial Service Specialist II to our Team!

• Shift: 1st
• Schedule: 6a - 6p (8 hours within this window)
• Hours per week: 40
• Benefits Status: Benefits Eligible
• Department: Beloit Clinic Insurance/Billing

In this position the primary responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement for Medicare and Medicare Advantage health plans, as well as related third‑party payers and patients assigned secondary financial responsibility. The position requires proper account documentation in facility's billing system and pursuit of aged account resolution under the minimal supervision of team lead and/or departmental leaders.

• Works daily electronic billing file and submits insurance claims to Medicare, Medicare Advantage, and third‑party payers.
• Works daily electronic billing file and submits insurance claims to Medicare, Medicare Advantage, and third‑party payers
• Documents billing activity on relevant encounter(s) according to departmental standards; ensuring compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders
• Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process
• Pursues prompt follow‑up efforts on aged accounts, which may involve helping to formulate written appeals
• Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders
• Practices excellent customer service skills by answering patient and third‑party questions and/or addressing billing concerns in a timely and professional manner
• Assists in reviewing and/or resolving credit balances
• Participates in general or special assignments and attends required training
• Demonstrates regular and reliable attendance to perform essential duties within the scope of position
• Other duties as assigned.

Job Requirements

• High school diploma or equivalent certification required
• 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings
• Must adhere to established Hospital and Finance department policies, rules and regulations.
• Maintain ethical conduct and keep confidential personal and medical information about patients
• Reporting Relationship: Department Director
• Physical effort includes walking, standing, stair climbing, bending and stooping, lifting, reaching, and sitting at long intervals.
• Ability to speak clearly and distinctly and to interact positively with patients, peers, and the public.

Behavior and Attitude

The mission of Beloit Health System, Inc. is to be the leader in regional health and wellness services that delivers high quality value and satisfaction to our patients and communities we serve.

Beloit Health System requires the employee to maintain integrity as a fully engaged employee. Each employee will perform in a manner which ensures delivery of the highest quality of medical services and patient satisfaction. Respect and consideration given to the dignity of each patient, visitor, and fellow employee is a requisite of successful job performance. The above statements are intended to describe the essential functions and related requirements of personas assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities, and requirements.