WellSpan Health
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Job Location: York, Pennsylvania
Job Type: Part-Time
Department:
Clerical and Administrative
Shift:
Days
Hours:
40 hours every two weeks. Flexible days, weekends, holidays
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Job Description
Patient Administrative Services Specialist Opportunity In Beautiful York, PA
About the Position
Represents the System in a professional manner, while using good customer service practices. Is primarily responsible for the electronic or manual billing and the 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 payors and patients to achieve payment of accounts in accordance with current government and payor regulations.
The qualified candidate will be responsible for carrying out the following duties:
- Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records.
- 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.
- Bills to third party payors via electronic or manual processes.
- Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
- Reviews accounts and maintains contact with third parties to ensure timely payments. Makes written and/or verbal inquiries to third party payors to reconcile patient accounts. Follows up accounts until zero balance or turned over for collection.
- Reviews third party payor payments and investigates accounts not paid as expected. Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances.
- Answers all inquiries regarding patient accounts.
- Interprets and explains to patients and their families charges, services, and hospital policy regarding payment of bills.
- Resolves billing problems and/or receives insurance updates.
- Processes and distributes copies of billings as required.
- Researches credit balance accounts. Refunds overpayments to patient, guarantor or third party payer.
- 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.
Qualifications
- Medical Terminology
- Strong communication and written skills
- Strong computer skills
WellSpan Health
WellSpan Health is a not-for-profit, community based health care system serving more than 650,000 people in south central Pennsylvania and northern Maryland. York Hospital, a 570+ bed community teaching hospital, and Gettysburg Hospital, a 76-bed acute-care facility, are the cornerstones of the health system. The organization has received significant, national recognition, including being named a “Top 100 Integrated Health Network” by Verispan, being one of the “Top 25 Connected Healthcare Facilities” by Health Imaging and IT and York Hospital has been named a “Top 100 Hospital” by Solucient seven times. WellSpan Health is an integrated health system with more than 60 care sites, 8,000 employees and seven residency programs.
The Community
WellSpan Health facilities are located in York and Adams counties, which offer an ideal living environment to match the quality of work-life balance you're seeking. York boasts abundant outdoor and cultural activities, including restaurants, theatre, golf courses, hiking trails and water sports. The community is only one hour from the Baltimore/DC metro area and about two hours from Philadelphia.
If you value a strong sense of community, the more palatable pace of a smaller city, 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
Typing and basic computer skills. Good customer service, interpersonal and communications skills.
Required Experience
1 year
How to Apply:
WellSpan Health
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