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Billing Specialist 1 Commercial - Relief/PRN, Day Shift

INTERNAL LAKELAND ASSOCIATES - Please apply through Workday. External careers site is for Non Lakeland Associates only
Benefit eligible positions are those listed with 24 hours per week or more.
Job Details
Location:
St. Joseph, MI
Department:
Patient Accounting - Manager Revenue Cycle
Status:
Part time
Shift:
Hours:
8-4:30pJob Summary
Under the direction of Patient Accounts Management, this position provides leadership and expertise within the revenue cycle components as they inter-relate. The associate will be involved in many areas of the revenue cycle that may include but is not limited to submitting patient bills to the appropriate payers and performing efficient follow-up on open accounts in a timely and accurate manner, being a central contact for sending and receiving correspondence related to all payers audits, work with revenue cycle management to assist in developing and reinforcing effective revenue cycle practices within in the pre-registration, admitting/registration, health information management, billing and collections, and customer service. This position may also be responsible for up-front cash collections, negotiating payment plans, processing charity care, and training new associates. Knowledge of third party payer regulations and ability to collaborate with outside venders/collection agencies.
ā ¢ Effectively handles all communication, including telephone, email and direct interaction with patients/payers and other departments within the business office. ā ¢ Demonstrates competency and a thorough understanding of all systems used. Follows departmental policies and procedures and meets deadlines and productivity standards for daily and weekly tasks including but not limited to the following: o Managing and exhibiting ownership of assigned patient accounts. o Ensuring accuracy of registration data including health insurance and patient demographics. o Initiating appropriate billing o Processing patient correspondence. o Resolving patient/payer account credit balances within established guidelines and policies. o Responding timely and professionally to all customer (patient, insured, third party payer, physician, and or employer) requests for information. o Utilizing system functions to timely follow-up on aged accounts. o Utilizing electronic billing systems to appropriately edit claims. o Notating all account activities in the system clearly and concisely. ā ¢ May also be responsible for the following tasks: o Identifying accounts eligible for transfer to outside collections through the Bad Debt review process. o Negotiating payment plans and settlements effectively per billing guidelines. o Collecting and processing patient and corporate payments. o Collaborating with outside collection agencies. o Processing patient accounts for Financial Assistance according to the Charity Care Policy. o Maintain a central repository, appends data, updates format and layout, and performs analysis of the data. o May be assigned projects or to serve on committees as needed within the Lakeland HealthCare Organization. o May participate in the training of new associates and on-going education of associates to maintain a high level of skill for the performance of their duties. ā ¢ Reviews initial bills for accuracy including: Correct registration information, Pre-approval or Pre-authorization numbers, appropriate charges, completed billing fields as required by each payer, correct bill format, and ensuring payer receives correct documentation timely when requested. ā ¢ Demonstrates initiative and resourcefulness by making recommendations and communicating trends regarding issues to Patient Accounts Leadership. ā ¢ Knows third party regulations for the account being billed using manuals, representatives, updates, and contracts as necessary to maintain corporate compliance while also implementing change for the affected regulation. ā ¢ Serves as a resource to the other team members within the Lakeland HealthCare Organization. ā ¢ Performs other duties as assigned by Patient Accounts Leadership. ā ¢ Committed to the continuous improvement of the patient experience which includes patient safety, quality of care and excellent service. Adheres to the organizationā s published values.Requirements
Education:
Associates: Related Field, High School or GED (Required)
Certifications:
Skills:
Additional Job Details
Physical Requirements:
Continuously: Sitting, Lifting/exerting force: 0-10 lbs., Use of hands to grasp/handle/feel, Vision, Vision-color, Hearing, Speaking
Frequently: Walking, Lifting/exerting force: 11-25 lbs.
Occasionally: Standing, Lifting/exerting force: 26-51 lbs., Stoop/kneel/crouch/crawl, Bending, Squatting, Climb/balance, Operating a motor vehicleā ¢ Skills: Basic computer, data entry, typing, filing and organization skills required.
  • Must possess a high degree of written and oral communication skills in order to interact/communicate effectively with diverse groups of internal and external contacts including patients and family members
  • Ability to manage multiple tasks and projects simultaneously
  • Adapts positively to changes in the work setting with ease
  • Demonstrates proficiency with a variety of systems, including but not limited to EPIC, Microsoft Word, Excel, Email and Voicemail
  • Abilities: Ability to work extended hours beyond normal work schedule to include, but not limited to, evenings, weekends, extended shifts and/or extra shifts, various locations, sometimes on short notice.
  • Environmental Conditions: Potential exposure to fumes, dust, gases, and odors. Frequent changes in temperature may occur. Possibility of exposure to communicable diseases.
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