Hospital Business Office Specialist I - Physician Enterprise - Temporary - Full Time

About the role

Kern Medical is seeking a Hospital Business Office Specialist I on a temporary basis. This role supports the hospital's revenue cycle activities.

Responsibilities

• Verifies and processes a variety of financial documents in support of revenue cycle activities.
• Analyzes and reconciles account activity to determine necessary action or corrections; obtains necessary information to resolve identified issues.
• Enters a variety of fiscally related information into databases; maintains fiscal records and files; documents all follow-up pertaining to account resolution within hospital information systems patient financial record.
• Responds to requests for information and inquiries related to revenue cycle programs, processes, policies, and/or other related information; researches customer discrepancies; resolves customer problems.
• Collections payments; receives, processes, and posts electronic and manual payments; collects outstanding balances from all payers.
• Researches, reviews, and adheres to all federal, state, and local regulatory billing and collection follow-up guidelines, as well as payer specific guidelines.
• Checks status of claims; identifies and evaluates follow-up problems and issues through receivable work stations; obtains and assembles documentation required for accurate follow-up.
• Investigates claim data to identify and correct payment errors; reviews remittance codes from EOB’s and RA’s to ensure appropriate payment and identify denials or non-payment; directs credit balances and refunds to appropriate department for resolution.
• Performs various adjustments to accounts.
• Compiles and maintains financial and statistical data records; prepares and distributes related reports.
• Handles patient correspondence.
• Affords assistance to customers with questions and directions; answers and directs telephone calls accordingly.
• Prepares documents for electronic scanning; performs scanning as assigned.
• Filings a variety of materials; retrieves files and provides information from files as directed; maintains logs.

Requirements

• High School Diploma, G.E.D. or equivalent and one (1) year of experience in medical billing, or related fiscal experience in a hospital or medical setting OR an equivalent combination of education, training, and experience sufficient to successfully perform the essential duties of the job.

Qualifications

• Knowledge Of Hospital (UB04) and professional billing (CMS1500) claim practices and procedures;
• State and federal government funding programs such as Medicare, Medi-Cal, California Children's Services, TRICARE/CHAMPUS, and Workers' Compensation;
• Commercial insurance payers;
• Billing and reimbursement guidelines and methodologies for state and federal government and non-government payers;
• Medical, insurance, and coding terminology;
• HIPAA privacy and compliance practices.

Skills

• Communicate effectively both orally and in writing sufficient to perform the essential functions;
• Read, understand, and apply policies and guidelines pertaining to billing, reimbursement, contracts, and other fiscal activities;
• Obtain information from a variety of sources, including patients and families;
• Use computers and various software to accomplish work;
• Perform various adjustments to accounts;
• Establish and maintain effective working relationships with patients, families, third-party payers and guarantors, and other internal and external customers.

Benefits

Health Benefits coverage may be offered.

Pay

The estimated pay for this position is $19.2821 to $25.5386. This reflects only a portion of the total compensation package for this position. Additional compensation may be available for this role through differentials, incentives, and bonuses.

Schedule

Extra-help employment has a limited term (up to 9 months).