What are the responsibilities and job description for the FINANCE SERVICES SPECIALIST position at Palms Medical Group?
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Position Summary
The Financial Services Specialist performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems.
Description of Primary Responsibilities
- Responsible for customer service
- Provide necessary customer and support services to patients of Palms Medical Group (PMG) within his / her field of training in accordance with stated policies and procedures of PMG.
- Answer, screen and route telephone calls in a polite and professional manner.
- Answer the telephone within three (3) rings.
- Efficiently operate a multiline telephone (transferring, voicemail and que).
- Research and respond by telephone or in writing to patient inquiries regarding billing issues and claims.
- Know all PMG departments and services.
- Responsible for insurance filing
- File all insurance claims, including but not limited to worker's comp, Medicare, Medicaid, private carriers and contractual arrangements in accordance with the policies and procedures of PMG.
- Responsible for identifying and investigating changes in reimbursement patterns on any carrier and reporting to the VP of Financial Services.
- Maintain files on claim forms and explanation of benefits
- Prepare and mail or electronically file private billing and verify accuracy, in accordance with the policies and procedures of PMG.
- Remain informed on guidelines for all insurance carrier types.
- Responsible for billing
- Process billing to patients and third-party reimbursement claims; maintains supporting documentation files and current patient addresses.
- Process patient statements, keys data, posts transactions and verifies accuracy of input to reports generated.
- Follow up on submitted claims, monitors unpaid claims, initiates tracers and resubmit claims as necessary.
- Receive and receipt cash items and third-party reimbursements; post and reconcile payments to patient ledgers.
- Review all receivable accounts and follow-up on outstanding balances, including unpaid claims in accordance with the policies and procedures of PMG.
- Responsible for administrative duties
- Read and adhere to the Accounting Policy Manual.
- Provide backup for front desk data entry to include : patient registration, visit entry, updates on billing information, etc.
- Responsible for qualifying and re-qualifying eligible patients in the sliding fee program and removing as appropriate; verifying and maintaining records in compliance with the policies and procedures of PMG.
- Be responsible for the collection reports and ensure letters go out in a timely manner.
- Participate in QA / QI and other meetings as directed by the Financial Services Coordinator.
- Perform MIS duties in the VP Financial Service's absence : Daily, Monthly and Yearly reports.
- Provide the CFO with all reports requested, including, month end, provider productivity, depreciation, etc.
- Assist the CFO with data collection for UDS and grant applications.
- Assist with audits and surveys as directed by VP of Financial Services.
- Perform any other duty assigned by the Financial Services Coordinator, VP of Financial Services, CFO or CEO to improve the efficiency of PMG.
Requirements
Description of Primary Attributes
General Development :
Professional & Technical Knowledge :
Licenses & Certifications :
Communications Skills :
Physical / Mental / Emotional Demands :
