Patient Financial Specialist I

Chambersburg, PA | Clerical and Administrative | Tracking Code: 67170

Job Description:

Works under direct supervision. Represents the System in a professional manner, using good customer service practices in the performance of the following duties: Is 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 payers and patients to achieve payment of accounts in accordance with current government and payer regulations.

 

Duties and Responsibilities

Essential Accountabilities:

  1. Corrects financial and biographical information that has been in properly entered into the system.
  2. Performs various functions to complete and expedite the billing process including, but not limited to, completing deposit process including batching and scanning of EOB’s and correspondence, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing the claim to bill, posting payments, performing AR follow up on denials, and all other billing functions as assigned.
  3. Bills to third party payers via electronic or manual processes.
  4. Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
  5. Reviews accounts and maintains contact with third parties to ensure timely payments. Makes written and/or verbal inquiries to third party payers to reconcile patient accounts. Follows up accounts until zero balance or turned over for collection.
  6. Reviews third party payer payments and investigates accounts not paid as expected. Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances.
  7. Answers all inquiries regarding patient accounts.
  8. Interprets and explains to patients and their families’ charges, services, and hospital policy regarding payment of bills.
  9. Resolves billing problems and/or receives insurance updates.
  10. Processes and distributes copies of billings as required.
  11. Researches credit balance accounts. Refunds overpayments to patient, guarantor or third party payer.
  12. 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

  • Minimum Experience:
    • 3 - 6 months
  • Minimum Education:
    • High School or G.E.D.
  • Skills:
    • Excellent communication and interpersonal skills
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 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.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

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.

Quality of Life

Franklin County, named after Benjamin Franklin, was officially formed in 1784. One of its two main towns, the borough of Chambersburg, lies 13 miles north of Maryland, and is known for its "green, safe environment." In the southern part of Franklin County, the borough of Waynesboro sits just two miles north of the Mason-Dixon Line and is known for its rich industrial history.

Franklin County is in the heart of South-Central Pennsylvania where you'll find mountains, lakes, and a picturesque countryside coupled with theater, music, skiing, hunting, fishing, and much more. We're in the heart of America's fruit orchards, so peaches, apples, and lots of other local produce are available close by. The area features local wineries and breweries, along with a vibrant arts scene at the historic Capitol Theatre and Totem Pole Playhouse. Franklin County merges the best of small-town friendliness with easy access to metropolitan areas. (Patient population: 154,000)