Patient Financial Services Specialist II -- Remote

Beloit Health System has an immediate Patient Financial Services Specialist II opening. This position offers a competitive wage, with generous benefits, all while working for a Health System with over 50 years of experience that is known for our friendly atmosphere and focus on patients.

This position will:

• Work remotely and independently (WI and IL residents only)
• Be responsible for accurate billing of health system services
• Prepare claims for billing through edit resolution
• Ensure timely claim submission
• Obtain fiscal resolution of no pay/overpayment determinations(denials) through appeal
• Analyze payor claims processing and reimbursement to contractual obligations to ensure facility is receiving proper payment for services
• Document all work in accordance with departmental standards

Requirements include:

• High school diploma or equivalent
• Certification as Revenue Cycle Representative (CRCR) or Specialist (CRCS) within one year or at time of placement
• 2+ years’ experience (within the last 3 years) of Medicare billing and claims resolution for institutional and professional claim management in the Medicare Direct Date Entry (DDE) system
• Knowledge of advanced patient accounting processes and healthcare

Preferred:

• 4+ years’ (within the last 5 years) of customer service and/or business office experience, ideally in a combination of hospital and professional settings