iremote.grstudy1 Patient Financial Service Specialist II – Remote

Patient Financial Service Specialist II – Remote

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Patient Financial Service Specialist II – Remote
• Location: Remote (WI and IL residents only)
• Shift: 1st…
• Schedule: 8a-4:30p; M-F
• Hours per week: 40
• Benefits Status: Eligible
• Department: Insurance/Billing

We offer competitive pay. Our benefits package includes exceptional health and dental insurance, a generous vacation allowance, daycare assistance up to 25%, generous incentives, tuition reimbursement, retirement plan, employer-matched TSA, generous shift differential for qualifying shifts (2nd shift 15% of base pay, up to $5.00 per hour / 3rd shift 25% of base pay, up to $10.00/hour) discounted/free membership at NorthPointe Fitness Center and much more. EOE
Come join our team today!
• ***No Recruiters/Staffing Companies****

Beloit Health System has an immediate Patient Financial Services Specialist II opening. This position offers a competitive wage, with generous benefits, all while working for a Health System with over 50 years of experience that is known for our friendly atmosphere and focus on patients.

This position will:
• Work remotely and independently (WI and IL residents only)
• Be responsible for accurate billing of health system services
• Prepare claims for billing through edit resolution
• Ensure timely claim submission
• Obtain fiscal resolution of no pay/overpayment determinations(denials) through appeal
• Analyze payor claims processing and reimbursement to contractual obligations to ensure facility is receiving proper payment for services
• Document all work in accordance with departmental standards

Requirements include:
• High school diploma or equivalent
• Certification as Revenue Cycle Representative (CRCR) or Specialist (CRCS) within one year or at time of placement
• 2+ years’ experience (within the last 3 years) of Medicare billing and claims resolution for institutional and professional claim management in the Medicare Direct Date Entry (DDE) system
• Knowledge of advanced patient accounting processes and healthcare

Preferred:
• 4+ years’ (within the last 5 years) of customer service and/or business office experience, ideally in a combination of hospital and professional settings