Kalispell Regional Healthcare Senior Patient Accounting Specialist in Kalispell, Montana
The Senior Patient Accounting Specialist provides senior level support for 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. Assists team lead with education, training and the first level escalation/questions from team.
*Acts as resource and serves as first line of escalation for Patient Accounting specialist team members. Performs as a Patient Accounting liaison between patients, clients, providers, payers, vendors and other KRH departments
*Identifies and reports payer related issues and potential payment discrepancies.
*Effectively trains and assists new and existing team members with assigned work in accordance with team expectations, department productivity and quality standards.
*Assists Team Lead and Manager with special projects and maintains open and professional communication with leadership and staff.
*Analyzes and interprets account data to facilitate timely claim and payment resolution. Collaborates and/or refers unresolved issues and escalates to appropriate party.
*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.
*Ensures all communication, both written and verbal, is documented in a professional, accurate, clear and factual manner.
*Completes account maintenance review to ensure account information is accurate within billing system.
*Interprets explanation of benefits (EOB) message codes, validates payer processing and identifies potential payment discrepancies.
*Provides exceptional customer service to stakeholders for questions and concerns.
*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.
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.
- Minimum of one (1) of the following requirements:
a. Minimum of one (1) year working experience with claims, billing and/or collections;
b. Minimum of two (2) years’ in a business office setting;
c. Associates degree in a related field; or
d. An equivalent combination of education and experience.
Demonstrated high level problem solving, analytical and/or investigational skills required.
Possess training skills to successfully share working knowledge and experience with others required.
Previous hospital or medical office setting preferred. Possess working knowledge of claim resolution preferred. Possess knowledge and understanding of payer regulations preferred.
Excellent interpersonal and customer service skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, and ability to learn other software as needed. Proficiency in Excel and /or revenue cycle software preferred.
Excellent verbal and written communication skills including the ability to communicate effectively with various audiences required. 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.
Possess ability to maintain confidentiality and understand HIPAA guidelines and other applicable federal laws.
We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment. We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please let us know.
For Kalispell Regional positions, please email Recruiting@krmc.org.
For North Valley Hospital positions, please call 406 863 3637.
Job Locations US-MT-Kalispell
Requisition ID 2021-9381
Category Accounting / Financial Services
Pay Period Status 80
Shift Start Hours 7:30 AM
Shift End Hours 4:00 AM
Position Type Full Time (Benefits Eligible)