Patient Financial Support, Full Time

Essential Job Functions

• Prepares and submits accurate hospital claims to Medicare, Medicaid, and commercial payers.
• Reviews patient accounts for completeness and accuracy prior to billing.
• Ensures compliance with federal, state, and payer-specific billing regulations.
• Posts payments and adjustments accurately to patient accounts.
• Works claim edits and resolves billing rejections and denials in a timely manner.
• Communicates with insurance companies regarding claim status, corrections, and appeals.
• Affords billing functions at minimum three days a month while the Lead Billing Coordinator is Billing Long Term Care and when the Lead Billing Coordinator is out.
• Affords cash management duties at least once monthly and covers that position when the Cash Manager is out.
• Performs the balancing of Long Term Care accounts.
• On a quarterly basis works with the HIM staff to correct and submit the ACHA report for inpatient and outpatient.
• Completes assigned duties within required time frame, according to established schedules or workflow requirements.
• Serves as resource to co-workers.
• Must demonstrate dependable, regular attendance.
• Supports and promotes the Mission, Vision, and Values; adheres to all hospital policies and procedures; commits to the Standards of Conduct; maintains professional appearance.

Minimum Qualifications

• High school diploma or GED required;
• Associate degree in Business, Healthcare Administration, or related field preferred;
• Minimum of 2 years of medical billing experience and cash management, preferably in a hospital setting;
• Knowledge of hospital billing procedures, insurance claims processing, and reimbursement guidelines;
• Experience with Medicare, Medicaid, commercial insurance, and managed care billing;
• Proficiency in electronic health records (EHR) and billing software systems;
• Strong understanding of revenue cycle processes;
• Excellent attention to detail and accuracy;
• Strong organizational and time management skills;
• Effective written and verbal communication skills.

Physical Setting

Office setting within a hospital environment.

Schedule

Day shifts, Monday - Friday

Experience

Minimum of 2 years of medical billing experience, preferably in a hospital setting.

Licenses/Certifications

Billing or coding certification preferred.

Physical Requirements

• Prolonged periods of sitting and working at a computer.
• Frequent use of standard office equipment (computer, phone, copier, scanner).
• Occasional standing, walking, bending, and reaching.
• May require interaction with patients, staff, and insurance representatives in person or by phone.
• Must be able to lift up to 10-15 pounds (files, office supplies).

Work Remotely

No