This position 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. Supports the organization in fulfilling the mission, vision, and values of Logan Health.


Our Mission: Quality, compassionate care for all.
Our Vision: Reimagine health care through connection, service and innovation.
Our Core Values: Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence.



Qualifications:
- Minimum of one (1) of the following requirements:
- Minimum of one (1) year working experience with claims, billing and/or collections;
- Minimum of two (2) years’ in a business office setting;
- Associates degree in a related field; or
- 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.
- 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.
- Promotes excellence through setting high standards and providing high quality outcomes.
- Ability to act with integrity, kindness, and exhibit empathy.
- 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.
- Commitment to working in a team environment and maintaining confidentiality as needed.
- Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
- Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
Job Specific Duties:
- 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 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 assigned leadership 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.
The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.
Maintains regular and consistent attendance as scheduled by department leadership.
Shift:
Day Shift - 8 Hours (United States of America)
Schedule:
Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.
Notice of Pre-Employment Screening Requirements
If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes:
Criminal background check
Reference checks
Drug Screening
Health and Immunizations Screening
Physical Demand Review/Screening
Equal Opportunity Employer
Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). 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 notify Human Resources.