Jobs · Accounting · Utah

Regional Billing Specialist

PACS · Salt Lake City, UT · 1 mo ago
On-siteAccountingFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections when posting has real, specific content. No job title heading. No Job ID etc. Remove boilerplate: EEO, legal, etc. Also duplicate lines: benefits repeated. We need to preserve all substantive info. Let's parse content: General Purpose paragraph: "The Regional Billing Specialist is responsible for ensuring the accuracy, integrity, and efficiency of accounts receivable processes across the designated region. This role serves as a technical expert and oversight mechanism to maximize collections and minimize aging through proactive claims management and adherence to payer regulations." That's about the role. Could be "About the role" heading. Essential Duties: includes Claims Management & Billing Accuracy (with subpoints), Payer Compliance & Revenue Integrity, Collections & Cash Application, Reporting & Analysis. Those are duties/responsibilities. Could be under "Responsibilities" heading. Supervisory Requirements: "This role has no supervisory requirements." That's maybe a note but not needed as separate heading? Could be part of Responsibilities? Might be omitted as not substantive? It's a statement but maybe we can include under Responsibilities as a note. However we should not create thin sections. Probably include under Responsibilities as a sentence. Qualification Education And/or Experience: bullet list of qualifications. That's "Qualifications" heading. Key Competencies: list of competencies. Could be "Skills" heading. Work Environment: description. Could be "Work Environment" but not in allowed headings list. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Work Environment not listed, but we could maybe put under Responsibilities? Or maybe we can omit because not in list? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we could use others? Safer to stick to those. Work Environment maybe not needed; could be omitted? But we must preserve ALL substantive information. If we omit work environment, we lose info. Could we incorporate into Responsibilities? Not ideal. Could we create a section "Work Environment" even though not listed? The instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It suggests those are typical but not exclusive? It says "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. However we need to preserve all substantive info; maybe we can incorporate work environment into Responsibilities or About the role. Could add a sentence under About the role describing work environment. Additional Information: includes note about management rights, etc. That's boilerplate; can be removed. Benefits: repeated twice. Need to extract benefits list: Health Coverage (medical, dental, vision), PTO and Vacation, Financial Wellness (HSA, FSA), Retirement Planning (401(k) with company contributions), Support When You Need It (EAP). Also mention "Join us at PACS and take advantage of a workplace that truly values you!" That's fluff; could be omitted? It's not substantive benefit but maybe keep as part of benefits description. We'll keep benefits as list. Pay and Schedule: not mentioned in posting. So we should NOT create Pay or Schedule sections. Requirements: maybe same as Qualifications? The allowed headings include Requirements. Could we separate Requirements from Qualifications? The posting has "Qualification Education And/or Experience" and also "Key Competencies". Could treat Requirements as the experience/education, and Skills as competencies. So we will have:

About the role

with purpose paragraph plus maybe work environment.

Responsibilities

with essential duties (claims management, payer compliance, collections, reporting, supervisory note).

Requirements

with education/experience bullet list.

Skills

with key competencies bullet list.

Benefits

with benefits list. We must not repeat job title. No extra headings. We need to use
  • for any list of duties/requirements/benefits, and

    for prose. We must preserve all substantive information; do not invent or summarize away detail. So we need to keep each duty point. Let's extract duties: Claims Management & Billing Accuracy: - Trial Claims: Generate trial claims regularly to identify and resolve billing errors prior to final submission. - Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date. - Un-billed Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released. - Clearinghouse Maintenance: Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day. Payer Compliance & Revenue Integrity: - Contractual Expertise: Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions. - Payer Sequencing: Review Payer Setup Information reports regularly to identify inaccuracies. Execute corrections or direct Business Office Managers to resolve errors via the collection note process. - Denial Management: Monitor insurance portals for status updates and denials. Execute immediate corrections or submit formal appeals as appropriate to secure payment. Collections & Cash Application: - Collection Module Oversight: Monitor the PointClickCare Upcoming Activity Tab. Review outstanding accounts, initiate new activities, and provide direct feedback/notes to BOMs within the module. - Account Documentation: Ensure detailed, professional notes are added to all accounts worked within PCC to maintain a clear audit trail. - Cash Posting & Reconciliation: Post all payer-appropriate cash to PCC daily. Perform regular reconciliations between bank deposits and PCC postings to ensure financial data integrity. Reporting & Analysis: - Trend Identification: Analyze accounts receivable aging reports to identify negative trends or systemic issues. - Management Reporting: Keep executive leadership informed by providing concise summaries and actionable insights regarding the region's financial health. Supervisory Requirements: This role has no supervisory requirements. We'll include that as a sentence under Responsibilities. Now Requirements (education/experience): - 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations. - Working knowledge of payer rules, billing regulations, and claims submission processes. - Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar). - Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy. - Excellent attention to detail, documentation habits, and organizational skills. - Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams. Skills (Key Competencies): - Technical Proficiency: Advanced knowledge of PointClickCare and Waystar (or similar clearinghouses). - Professionalism: Demonstrate high levels of autonomy, organization, and assertiveness when addressing billing discrepancies. - Adaptability: Exhibit flexibility and a cooperative spirit in a fast-paced, multi-facility environment. Work Environment: we need to incorporate somewhere. Could add a paragraph under About the role: "The work environment is usually low to moderate noise level. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions." Also mention that note about management rights? That's boilerplate; we can omit. We'll include that as prose. Benefits: list: - Health Coverage: medical, dental, and vision plans. - PTO and Vacation: generous paid time off and holidays. - Financial Wellness: Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). - Retirement Planning: 401(k) plan with company contributions. - Support When You Need It: Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges. Also note "Join us at PACS and take advantage of a workplace that truly values you!" maybe not needed; it's fluff. Could include as a sentence but it's not a benefit; maybe omit as it's promotional. We'll keep only substantive benefits. Now ensure we don't include any boilerplate like EEO, legal, etc. Also remove duplicated benefits lines. Now produce HTML fragment:

    About the role

    The Regional Billing Specialist is responsible for ensuring the accuracy, integrity, and efficiency of accounts receivable processes across the designated region. This role serves as a technical expert and oversight mechanism to maximize collections and minimize aging through proactive claims management and adherence to payer regulations. The work environment is usually low to moderate noise level, and reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Responsibilities

    • Claims Management & Billing Accuracy:
      • Trial Claims: Generate trial claims regularly to identify and resolve billing errors prior to final submission.
      • Billing Cycle Oversight: Ensure all prior-month claims are billed immediately following the Triple Check date.
      • Un-billed Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released.
      • Clearinghouse Maintenance: Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day.
    • Payer Compliance & Revenue Integrity:
      • Contractual Expertise: Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions.
      • Payer Sequencing: Review Payer Setup Information reports regularly to identify inaccuracies. Execute corrections or direct Business Office Managers to resolve errors via the collection note process.
      • Denial Management: Monitor insurance portals for status updates and denials. Execute immediate corrections or submit formal appeals as appropriate to secure payment.
    • Collections & Cash Application:
      • Collection Module Oversight: Monitor the PointClickCare Upcoming Activity Tab. Review outstanding accounts, initiate new activities, and provide direct feedback/notes to BOMs within the module.
      • Account Documentation: Ensure detailed, professional notes are added to all accounts worked within PCC to maintain a clear audit trail.
      • Cash Posting & Reconciliation: Post all payer-appropriate cash to PCC daily. Perform regular reconciliations between bank deposits and PCC postings to ensure financial data integrity.
    • Reporting & Analysis:
      • Trend Identification: Analyze accounts receivable aging reports to identify negative trends or systemic issues.
      • Management Reporting: Keep executive leadership informed by providing concise summaries and actionable insights regarding the region's financial health.
    • Supervisory Requirements: This role has no supervisory requirements.

    Requirements

    • 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations.
    • Working knowledge of payer rules, billing regulations, and claims submission processes.
    • Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar).
    • Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy.
    • Excellent attention to detail, documentation habits, and organizational skills.
    • Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams.

    Skills

    • Technical Proficiency: Advanced knowledge of PointClickCare and Waystar (or similar clearinghouses).
    • Professionalism: Demonstrate high levels of autonomy, organization, and assertiveness when addressing

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