Billing Specialist/Accounts Receivable Clerk

Description

Weiser Memorial Hospital--rated as one of Idaho's best places to work--is looking to hire a Billing Specialist/Accounts Receivable Clerk to join our team. 

The Billing Specialist/Accounts Receivable Clerk is responsible for the insurance billing process between the hospital and insurance companies, federal agencies and third party payers. Audits patient accounts to ensure procedure, charges, and coding accuracy. Collects payments from commercial insurance companies, state and federal agencies. Participates in performance improvement and quality performance improvement (CQI) activities. 

Weiser Memorial Hospital, a PERSI employer, offers a competitive benefits package in addition to continuing education and professional development opportunities. 

Benefits include, but are not limited to:

• Idaho State Retirement (PERSI)
• 401(k)
• Medical, dental, and vision insurance plans
• Discounted medical services
• Medical and dependent care savings plans
• Guaranteed life insurance
• Employee Assistance Program
• Voluntary Air St. Luke's Membership

Weiser Memorial Hospital participates in eVerify and is an Equal Opportunity Employer.

Applicants must be authorized to work for any employer in the U.S. Weiser Memorial Hospital does not offer H-1B or other visa sponsorship for this role, at this time.

Weiser, ID, is located in Western Idaho, minutes away from I-84 and offers a lower cost of living than the national average, including nearby Boise. Weiser is well-known for its many rivers, access to outdoor recreational areas, and as the host of the annual National Old-time Fiddlers' Contest & Festival.

Responsibilities:

• Coordinates the payment process and collects payments from insurance companies, federal and state agencies and third party payers. Receives insurance and patient payments and posts to correct patient account.
• Maintain denial log for insurance denials and send to billers the end of each week.
• Gather and print EOB’s from EFT’s deposited each day along with check register and credit card receipts
• from admitting.
• Run small balance report and adjust small balances per policy each month.
• Maintains a professional, working relationship with the insurance companies, government agencies and third party payers.
• Responsible for contacting the appropriate agency/company to resolve account collection problems.
• Works independently to resolve account problems.
• Communicates to the Manager of Patient Financial Services those accounts that need to be sent to the collection agency after all collection efforts have been exhausted by the hospital.
• Reviews patient accounts to ensure procedures have been properly coded and the charges are correct.
• Adjusts patients' bills to reflect credits, debits and balances.
• Collects balance due from patients when appropriate according to policy and procedure.
• Documents all correspondence and conversations with insurance companies, governmental agencies, third party payers and patients on patient’s account.
• Stays informed of changes in the insurance industry, including Medicare and Medicaid
• Updates daily cash board.
• Make adjustments or write-off’s within hospital limits
• Consults with other hospital departments to obtain, verify billing information.
• Demonstrates the ability to be flexible, organized and function well in stressful situations.
• Interacts with patients/families in a professional manner; ensures confidentiality of patient records. Provides explanations regarding statements, insurance coverage.
• Maintains a good working relationship within the department and with other departments of the hospital.
• Enters all patient charges daily with accuracy and completeness
• Reports to Manager of Patient Financial Services any problems or discrepancies which may delay or affect charge posting.
• Performs other duties as assigned.

Requirements

• High school graduate or equivalent.
• Proficiency in data entry using PC based software
• Thorough understanding of different insurance plans, government agencies, Medicare and Medicaid.
• Previous billing and accounts receivable experience