Patient Financial Specialist - Prospect Center - (full-time) - Days

York, PA | Clerical and Administrative | Tracking Code: 56406D

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Position Summary:

Patient Financial Specialist - Prospect Center - (full-time) - Days

In York, PA

 

About the Position

Is primarily responsible for the electronic or manual billing and maintenance of patient accounts. Performs a variety of functions including, but not limited to, account follow-up, answering inquiries, resolving problems and interacting with third party payors and patients to achieve payment of accounts in accordance with current government and payor regulations. 

The qualified candidate will be responsible for carrying out the following duties:

  • Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records.
  • Performs various functions to complete and expedite the billing process including, but not limited to, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions.
  • Bills to third party payors via electronic or manual processes.
  • Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
  • Reviews accounts and maintains contact with third parties to ensure timely payments. Makes written and/or verbal inquiries to third party payors to reconcile patient accounts. Follows up accounts until zero balance or turned over for collection.
  • Reviews third party payor payments and investigates accounts not paid as expected. Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances.
  • Answers all inquiries regarding patient accounts.
  • Interprets and explains to patients and their families charges, services, and hospital policy regarding payment of bills.
  • Resolves billing problems and/or receives insurance updates.
  • Processes and distributes copies of billings as required.
  • Researches credit balance accounts.  Refunds overpayments to patient, guarantor or third party payer.
  • Receives and processes incoming charges.  Enters data into mainframes, PC's and/or microcomputers.  Reconciles daily cash and verifies account balances.  Reconciles electronic payments and computer generated reports.

Qualifications

  • Communication skills
  • Strong computer skills
  • Medical Terminology
  • Problem solving abilities
  • Attention to detail
  • Typing 45+ wpm
  • Bi-lingual a plus!

WellSpan Health

 

WellSpan Health is a not-for-profit, community based health care system serving more than 650,000 people in south central Pennsylvania and northern Maryland.  York Hospital, a 570+ bed, Level 1 Trauma Center, Magnet designated community teaching hospital, and Gettysburg Hospital, a 76-bed acute-care facility, are the cornerstones of the health system.  In April 2012, WellSpan Health opened the WellSpan Surgery and Rehabilitation Hospital a 73-bed state-of-the art hospital, to care for patients recovering from strokes, traumas, chronic disease complications and orthopedic injuries.  The organization has received significant, national recognition, including being named a “Top 100 Integrated Health Network” by Verispan, being one of the “Top 25 Connected Healthcare Facilities” by Health Imaging and IT and York Hospital has been named a “Top 100 Hospital” by Solucient seven times.  WellSpan Health is an integrated health system with more than 60 care sites, 8,500 employees and seven residency programs.

The Community

Wellspan Health facilities are located in York and Adams counties, which offer an ideal living environment to match the quality of work-life balance you’re seeking.  Both communities offer abundant outdoor and cultural activities, including restaurants, theatre, golf courses, hiking trails, water sports and historic tours.  The communities are a short drive from several, large metropolitan areas including the Baltimore/DC metro area and Philadelphia.

If you value a strong sense of community, the more palatable pace of rural living, and the convenience of a workplace close to home, you’ll realize the advantages of considering Wellspan Health as part of your future.

Required Skills

Communication skills

Strong computer skills

Medical Terminology

Problem solving abilities

Attention to detail

Typing 45+ wpm

Bi-lingual a plus!

Required Experience

3 - 6 months


Quality of Life

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization is comprised of a multispecialty medical group of more than 1,500 physicians and advanced practice clinicians, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 19,000 employees, and 170 patient care locations. WellSpan is a charitable, mission-driven organization, committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Quality of Life
Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

Equal Opportunity Employment

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

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