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Kalispell Regional Healthcare Patient Accounting Specialist in Kalispell, Montana

Overview

The Patient Accounting Specialist coordinates and facilitates patient medical billing and collection activities in assigned area(s). Assigned areas may consist of, but may not be limited to; billing, payment posting, collections, payer claims research, customer service, accounts receivable, etc.

Responsibilities

  1. *Analyzes and interprets account data to facilitate timely claim and payment resolution. Collaborates and/or refers unresolved issues and escalates to appropriate party.

  2. *Posts payments and adjustments utilizing the appropriate fee schedule, policy and/or procedures in accordance with patient statements, remittance advices, insurance carriers, electronic downloads, etc.

  3. *Identifies credits, variances and trends. Performs appropriate action to facilitate resolution in a timely manner.

  4. *Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.

  5. *Completes account maintenance review to ensure account information is accurate within billing system.

  6. *Acts as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other KRH departments.

  7. *Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.

  8. *Maintains open and professional communication with leadership and staff.

  9. *Effectively manages assigned work in accordance with team expectations, department productivity and quality standards.

  10. *Provides exceptional customer service to stakeholders for questions and concerns.

  11. *Participates in team meetings and activities. Contributes to the philosophy and goals of the team and department while maintaining a positive, open-mind and focus on continuous improvement.

  12. Other duties as assigned. This position description in no way states or implies that these are all the only duties required. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

*Maintains regular and consistent attendance as scheduled by department leadership.

*Job duties denoted with an asterisk are classified as Essential Job Functions.

Qualifications

  1. Minimum of one (1) year experience in a hospital or medical office setting preferred.

  2. Excellent interpersonal and customer service skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.

  3. Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed. Proficiency in Excel preferred.

  4. Excellent verbal and written communication skills including the ability to communicate effectively with various audiences required.

  5. Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.

  6. Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.

Job Locations US-MT-Kalispell

Requisition ID 2021-11472

Category Accounting / Financial Services

Pay Period Status 80

Shift Days

Shift Start Hours 8:00 AM

Shift End Hours 5:00 PM

Schedule M-F 8-5

Position Type Full Time (Benefits Eligible)

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