Patient Administrative Service Specialist - Customer Service

WellSpan Health
York, PA
Mar 20, 2017
Mar 21, 2017
Full Time
Patient Administrative Service Specialist - Customer Service Tracking Code 44222 Job Description General Summary:Works under direct supervision. Represents the System in a professional manner, using good customer service practices in the performance of the following duties: Is responsible for the electronic or manual billing and maintenance of patient accounts. Performs a variety of functions including, but not limited to, account follow-up, answering inquiries, resolving problems and interacting with third party payers and patients to achieve payment of accounts in accordance with current government and payer regulations.The following are essential job accountabilities: 1 Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records. 2 Performs various functions to complete and expedite the billing process including, but not limited to, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions. 3 Bills to third party payers via electronic or manual processes. 4 Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care. 5 Reviews accounts and maintains contact with third parties to ensure timely payments. Makes written and/or verbal inquiries to third party payers to reconcile patient accounts. Follows up accounts until zero balance or turned over for collection. 6 Reviews third party payer payments and investigates accounts not paid as expected. Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances. 7 Answers all inquiries regarding patient accounts. 8 Interprets and explains to patients and their families charges, services, and hospital policy regarding payment of bills. 9 Resolves billing problems and/or receives insurance updates. 10 Processes and distributes copies of billings as required. 11 Researches credit balance accounts. Refunds overpayments to patient, guarantor or third party payer. 12 Receives and processes incoming charges. Enters data into mainframes, PC's and/or microcomputers. Reconciles daily cash and verifies account balances. Reconciles electronic payments and computer generated reports. About WellSpan: WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization is comprised of a multi-specialty medical group of more than 850 physicians and advanced practice clinicians, a home care organization, six respected hospitals, more than 15,000 employees, and 160 patient care locations. The region's only accredited Level 1 Trauma Center and Primary Stroke Center with an endovascular neurosurgery program. WellSpan is consistently recognized by IMS Health as one of the Top 100 Integrated Health Networks in the United States and has been recognized by Health Imaging and IT as one of the nation's "Top 25 Connected Healthcare Facilities." IMS Health is the leading provider of information services and technology for the healthcare industry. The Community: WellSpan Health facilities are located in multiple counties across south central Pennsylvania and northern Maryland, all offering an ideal living environment to match the quality of work-life balance you're seeking. The area offers abundant outdoor and cultural activities, including restaurants, theatre, golf courses, hiking trails, water sports and historic tours. Additionally, our communities are a short drive from several, large metropolitan areas including the Baltimore/DC metro area and Philadelphia. If you value a strong sense of community, the more palatable pace of rural living, and the convenience of a workplace close to home, you'll realize the advantages of considering WellSpan Health as part of your future. Required Skills Minimum Education: High School or GED Minimum Experience: 3 months customer service experience Job Location York, Pennsylvania, United States Position Type Full-Time/Regular Schedule Days Additional Scheduling Info N/A Additional Requirements N/A <