Providence St. Joseph Health

Job Information

Providence Billing - Collection Specialist in Kodiak, Alaska

Description:

Providence is calling a Billing - Collection Specialist (Comm Support Program , Day Shift, 1.0 FTE - 40 hours per week) to Providence Kodiak Island Mental Health Center in Kodiak, Alaska. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system.

In this position you will:

•CUSTOMER SERVICE: Demonstrates professional skills in working with departmental staff, hospital departments, physicians, physician’s office staff, government agency and insurance company representatives, patients, consultants and co-workers. Maintains confidentiality of all patient information.

•REGISTRATION AND CHARGING: Ensures all billing documentation required by payers, including but not limited to CPT-4, HCPCS and ICD-9 coding, prior authorization, provider identifications, primary and secondary insurance, patient demographics, insured identification, charges and dates of service are complete and correct. Posts and verifies charges.

•BILLING AND RESOLUTION: Completes claims submission on a daily basis. Performs follow-up with patients and third party payers to ensure timely and accurate resolution of accounts within departmental guidelines and government program regulations. Calculates and thoroughly analyzes remittance advises to ensure payment and required contractual allowances are applied accurately. Maintains all credit balances within department guidelines. Process all sliding scale applications. Maintain sliding scale accounts.

•ACCOUNTS PAYABLE: Accounts payable responsibilities include stamping mail, processing check requests, getting administrative approval on requests and researching non payment.

•AKAIMS: Responsible for documenting all charges that occur in PKICC on the state AKAIMS system in order to comply with state funding responsibilities.

•SCHEDULING: This position must assist in maintenance of schedule for all clinicians.

•URINE ANALYSIS PROCESSING: Responsible for Urine Analysis processing duties to fulfill contractual obligations with agencies, court referred individuals and private individuals. Must ensure regulations are met consistently during entire process.

•DAILY OPERATION: Demonstrates working knowledge of registration, billing, retrieval, electronic data interchange and online systems, i.e., Registration and Billing Software, NEIC, BX, Tri-Care/Champus, Medicaid, Medicare, Veterans Administration and Imaging Systems. Responsible for billing, account follow-up, account maintenance, review and analysis of RA’s and customer service. Possesses the ability to detect system integrity problems, reports and assist in resolution. Responsible for daily mail distribution and processing.

•COMMUNICATION AND TEAMWORK: Demonstrates professional telephone skills. Demonstrates professional inter-personal skills in communicating with patients and others regardless of age, nationality, or financial situation. Collaborates with team members to achieve a wide range of department specific duties and activities to maintain maximum productivity and success. Serves as resource to all team members.

•EQUIPMENT: Operates equipment in a safe manner according to department procedures. Operates multiple kinds of equipment.

•CRITICAL THINKING SKILLS: Utilizes available resources, i.e., seeks answer prior to asking for help; example: PPA contracts, government regulatory requirements and guidelines. Recognizes errors/problems and corrects. Analyzes situation and makes a decision within department guidelines.

•ACCURACY AND PRODUCTIVITY: Displays initiative to maintain personal productivity and flexibility. Completes work accurately and according to procedure. Responsible for auditing accounts for charges, payments, adjustments, insurance information, patient information and corrects as needed. Performs work according to department productivity standards.

•COMPLIANCE: Responsible to obtain the necessary knowledge and experience to perform job tasks in compliance with federal, state and local laws, regulations and guidelines. Participates in educational programs and in-services.

•Completes Competency Plan for assigned job and department.

Qualifications:

Required qualification for this position include:

  • High school graduation or GED

Preferred qualification for this position include:

  • Two (2) years medical accounts receivable experience

About the department you will serve

Providence Kodiak Island Counseling Center offers a wide array of behavioral health services offered through different programs within the agency such as Outpatient Clinic, Community Support Program, Family Focused Program, Mental Health Clinicians in the School Program, Safe Harbor and Alcohol Safety Action Program.

For more information about Providence Kodiak Island Counseling Center, please click on the following link: http://providence-kodiakhealthcare.jobs/

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Billing/Insurance

Location: Alaska-Kodiak

Req ID: 298973

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