York, PA | Clerical and Administrative | Tracking Code: 80290

Patient Financial Specialist I - Posting and Payment Research - Days

Nicole Eckert
Talent Acquisition Consultant
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May 18 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Ephrata Community Hospital, Ephrata / WellSpan Surgery and Rehabilitation Hospital, York / WellSpan Waynesboro Hospital, Waynesboro
Positions: Certified Sterile Processing Technicians, Food Services, Housekeeping, LPN, Medical Assistant, Nursing, Nursing Support, Pharmacy, Allied Health: Lab Services, Respiratory, Imaging, Surgical Technologist, Home Health RN, Home Health LPN
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May 25 In-Person Hiring Events
10:00 a.m. – 2:00 p.m.
WellSpan Medical Group, York
Positions: Dental Assistant, Dental Hygienist, Medical Assistant, LPN, Patient Service Specialists
MAY
2022
In-Person Hiring Events -
Various Locations and Dates

Schedule & Location:

Full Time: Days 

Hybrid remote work opportunity: On-site training with potential to become fully remote 

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:

  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
    • Attention to detail is required

#remote 


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Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

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