Kalispell Regional Healthcare Patient Accounting Lead in Kalispell, Montana

Overview

Provides Patient Accounting support to meet individual team and department goals. Works collaboratively as a team and shares the responsibility of ensuring accuracy and timeliness in all phases of the Patient Accounting processes.

Responsibilities

  1. *Utilizes knowledge and understanding of healthcare reimbursement rules and regulations of third party payors and general coding practices to bring the account to resolution in a timely manner within the realm of assigned duties.

  2. *Identifies refunds, trends, initiate requests and send through established channels using KRH Patient Accounting policy and procedure. Ensures that all accounts are processed and resolved in a timely manner.

  3. *Documents all communication regarding accounts in the appropriate computer databases, efficiently. Provides detailed, accurate documentation on patient accounts as instructed.

  4. *Supports the Supervisor and Manager in training of team members, working special projects as needed and demonstrating a united leadership team.

  5. *Acts as a liaison between patients, clients, providers, third party agencies and KRH departments, including team members, regarding Patient Accounting questions, payment issues and other related inquiries.

  6. *Analyzes and interprets account data to allow for claim and payment resolution and, when appropriate, for adjudication and resolution of claims.

  7. *Interprets explanation of benefits message codes in order to identify payment discrepancies and resolves or refers to the appropriate party.

  8. *Maintains regular communication with leadership regarding customer interactions and workload and escalates any issues promptly.

  9. *In the absence of a specific written policy or procedure, will use the Fair Debt Collection Practices Act and other applicable Federal statues as guidelines.

  10. *Meets established productivity and quality goals for assigned work, as well as various HIT systems for reference.

  11. *Maintains a professional, positive and “team-player” attitude and accepts and acts upon all duties and/or projects assigned by Management to the best of his/her ability.

Qualifications

  1. Minimum of two (2) years’ experience as a Patient Accounting Specialist 2 in a business office environment, medical office and healthcare background preferred.

  2. Demonstrated ability to perform mathematical calculations with high-level problem solving, analytical, and investigational skills.

  3. Minimum of three (3) years of experience in a healthcare business office or related field.

  4. Proven ability to establish and maintain effective working relationships with patients, organization staff members, and the public. Possess ability to work independently as well as function as part of a team.

  5. Possess superior skills in time-management, organization, prioritization, and ability to communicate via written and verbal communication.

  6. Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel and the ability to learn other software as needed is required.

  7. Proven ability to maintain confidentiality and understand HIPAA and other applicable Federal laws and payer contracts.

  8. Ability to meet established productivity goals for assigned work. Must be able to fulfill all of the duties of Patient Accounting Specialist 1 and 2 job descriptions.

Requisition ID 2018-4079

Category Accounting / Financial Services

Pay Period Status 80

Shift Days

Schedule Monday-Friday; 8:00am - 4:30pm