JOB RESPONSIBILITIES

• The Billing and Collection Specialist is responsible for ensuring that cash goals are met on a monthly basis.
• Ensures that accounts are appropriately coded to system requirements for management of open accounts.
• Reports any unusual occurrences and difficult collection issues to PFS Supervisor and PFS Manager.
• Ensures all billing activity is posted to A/R system.
• Obtains medical records from HIM in a timely manner and ensures all that is needed for payment is attached at the time of billing.
• Monitors unbilled accounts and prepares status report weekly for PFS supervisor.
• Files corrected or late charge bills accurately and upon receipt of notification from data quality or PFS supervisor.
• Working with outpatient access and inpatient financial counselors, ensures all referrals and prior authorizations are completed and loaded in the system accurately prior to submission of bill.
• Obtains payer requested documents to ensure timely payment, i.e., med-pay letters, patient questionnaires, police reports, RA's/EOB's, medical records, etc.

REQUIRED MINIMUM EDUCATION

• High School Diploma.  College preferred

REQUIRED MINIMUM CERTIFICATION

• CPAR (preferred)

REQUIRED LICENSURE

• N/A

REQUIRED MINIMUM EXPERIENCE

• Three (3) to five (5) years of experience with hospital and physician billing and collection processes.
•  Inpatient, outpatient, and physician experience with billing and/or collections.

REQUIRED MINIMUM SKILLS

• Must have a working knowledge of PC spreadsheet and database software. 
• Strong organizational skills required.
•  Strong math aptitude required for analyzing payments and contractual agreements. 
• Keyboard skills of 45 wpm. 

PREFERRED QUALIFICATIONS

• N/A

PHYSICAL DEMANDS

• Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.