Patient Financial Services Specialist II

Beloit Health System; Beloit (WI); On-site; USD 42,000 - 58,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Beloit Health System is seeking a Patient Financial Service Specialist II to support Commercial or Medicaid billing. This on-site role targets accurate billing, timely claims submission, and reimbursement across payers, with accountability to the Beloit Clinic Insurance/Billing team.

Responsibilities include processing electronic claims, documenting activity, correcting errors, following up on aged accounts, and assisting with credit balances.

Qualifications

• High school diploma or equivalent is required.
• 4+ years of customer service and/or office experience preferred.
• Experience in hospital or professional settings is preferred.

Responsibilities

• Submit insurance claims to Medicaid or Commercial accounts and third-party payers.
• Document billing activity according to departmental standards.
• Correct errors to optimize electronic claims submission.
• Follow up on aged accounts and write appeals if needed.
• Monitor claim rejections and report trends to leads.
• Provide excellent customer service to patients and third parties.
• Assist in resolving credit balances.
• Attend required training and maintain regular attendance.
• Perform other duties as assigned.

Skills

Customer service

Billing & claims

Communication

Attention to detail

Education

High school diploma or equivalent

Experience in hospital/professional settings preferred

Tools

Billing software

Job description

Beloit Health System is looking to add a Patient Financial Service Specialist II to our Team - Commercial or Medicaid!

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

The primary responsibilities include accurately billing patient accounts, ensuring timely claim submission and reimbursement for Commercial billing or Medicaid 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 Medicaid or Commercial accounts 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 required
• 4+ years of customer service and/or business office experience preferred, ideally in a combination of hospital and professional settings
• Maintain ethical conduct and keep confidential personal and medical information about patients
• Reporting Relationship: Department Director .
• Ability to speak clearly and distinctly and to interact positively with patients, peers, and the public.