Billing Specialist

General Description:

This position will assist with payment posting, patient collections, sliding fee applications, secondary billing, and other duties, as assigned to support the billing department to function at a high level. This position will contribute to the patient care environment by identifying, analyzing, and problem-solving billing related issues when required.

Essential Function:

Manually post payments and ensure proper daily balancing of batch totals

Import auto posting files and prepare related batches

Review patient balances to determine when collection efforts should take place. Implement collections policy and ensure appropriate notices are produced and sent out to patients in accordance with policies

Field patient phone calls, take patient payments, set up payment plans, review and research patient accounts for purposes of identifying billing trends and maintaining a clean AR aging

Educate and assist patients with the completion and submission of sliding fee discount program (SFDP) applications. Review and recommend for approval SFDP applications. Assist with SFDP renewal applications.

Document all communications with Insurance carriers, patients, and other sources associated with the patients financial account

Assist with insurance verification, run eligibilities, and determine appropriate insurance classification for uninsured or self-pay patients

Must be able to accurately identify and populate account demographics

Must be able to enter basic formulas and calculation in Excel for tracking purposes

Must be able to attend staff meetings and any site requested

Other duties, as assigned

Qualifications:

High school diploma or equivalent.

1 to 3 years experience in a related billing or clerical position.

Knowledge of basic patient accounting and medical billing principles

Data entry in a high-volume work environment.

Detailed oriented.

Skill in establishing and maintaining effective communication skills and working relationships with other employees, patients, organizations, and the community

Benefits

Choosing PHN means more than a job title; it's a holistic experience that nurtures every facet of your well-being and aspirations.

• Medical/Dental/Vision (Employee and Family plans available immediately upon start date!)
• Employer Paid Short Term disability
• Employer Paid Life Insurance
• Retirement Plan
• Paid Time Off
• 8 Paid Holidays
• College Savings Plan
• Fitness Center Membership Reimbursement
• ID Shield & Legal Shield
• Volunteer Time Off Program

The Network

The Primary Health Network is the largest Federally Qualified Healthcare Center (FQHC) in the state of Pennsylvania. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.

With the Joint Commission Accreditation, we adhere to the highest standards of safety and quality in healthcare, ensuring top-notch services that surpass industry benchmarks. Some additional achievements that exemplify our commitment to optimal health and wellness include:

• Patient Centered Medical Home Accreditation

• Age Friendly Care Health System Participant

• HRSA Community Health Quality Recognitions in COVID-19 data reporting, advancing health information technology for quality, and continued implementation of the Primary Care Medical Home care model.

• Ranked an impressive #5 in the Government & Non-Profit sector by Inspiring Workplaces of North America for 2023

Innovation Through Diversity

Our path to DEI&B excellence is paved by the remarkable individuals at Primary Health Network. We celebrate the unique backgrounds, insights, and stories they bring. By attracting, nurturing, and retaining talent from all horizons, we're building a space where fresh ideas flourish, ensuring our patients always receive top-tier care.

Primary Health Network is an Equal Opportunity Employer (EOE).