PATIENT FINANCIAL SERVICES SPECIALIST II - Doris Ison

POSITION PURPOSE:

The purpose of the Patient Financial Services Specialist II is to ensure that the batches and daily registration have been processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from data processing and supervising closing by staff.

POSITION REQUIREMENTS / QUALIFICATIONS:

Education/Experience:

High School Diploma or GED Equivalent. Some College Credits Preferred, Five years’ experience in Health Care. Knowledge of Medicaid / Medicare insurance, collections and setup. Must know how to post B&E’s.

Licensure / Certification:

Maintain current CPR certification from the American Heart Association

Skills / Ability:

Ability to work as a team leader and independently. Must have clerical skills, ability to type 35 WPM and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills.

POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION)

Complete statistical data and submit daily.

Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments.

Assist with training of new employees and work related problems.

Answers inquiries of staff as questions arise in connection with obtaining needed information.

Spot check work in progress to ensure prompt work flow to and from Data Processing.

Ensures that decisions are in accordance with CHI Policies.

Make credit decisions regarding admission deposit in problem situations.

Discuss with patient the status of their accounts and make payment arrangements.

Verifies Medicare, Medicaid and all other insurance carriers when needed.

Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff.

Performs cashier duties, collects patient funds for services and enters data into computer for payment received.

Performs voids, deletions, corrections on payments, B&E’s and batches.

Performs billing audits to ensure compliance by the PFSS.

Provides instruction regarding posting in computer correctly.

Verifies batches of PFSS.

Provides updates and training of cashier functions.

Provides reports to the Director of Finance or appropriate staff.

Use appropriate and correct telephone etiquette at all times.

Participates in Continuing Educational In-service and Performance Improvement Activities.

Report of PFSS errors.

Report of Medical Coding errors.

Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service.

Ensure batches are scanned into the Imaging system on time and accurately.

Allocation of Personnel to cover staff shortages.

Reports to work on time and ready to work with minimal absenteeism.

Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations.

Performs other duties as assigned, including variable shifts if needed.