PFS Liaison & Billing Specialist-AR Management (Prof)

Location:METROHEALTH OLD BROOKLYN CAMPUS

Biweekly Hours:80.00

Shift:8:00am-4:30pm

The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.

Summary:

Performs a variety of clerical duties to support the efficient operations of the Patient Financial Services office.

Responsibilities:

• Contributes to patient safety by supporting the System-wide programs and policies addressing a safe environment for patients and the reporting of safety concerns to the appropriate individuals.
• Organizes and distributes daily mail/correspondence including, but not limited to payor correspondence/checks, Bankruptcy File notices, Victims of Crime, deceased patient estates and other pertinent documents for Revenue Cycle.
• Verify patient eligibility for coverage on all new insurance payors provided by the patient/guarantor for initial billing of the account, either electronically or hard copy through the claims clearing house.
• Provides support functions such as copying, filing, printing, mailing, and faxing as assigned.
• Perform vendor security requests and password resets
• Provides support with confirming accuracy of and analyzing insurance benefits and/or registration for new and existing patients and enters Core Billing System.
• Provide support for PFS Customer Service through OnBase system by sorting correspondence and Deceased Notifications.
• Responsible for reviewing and billing secondary claims in Quadax.
• Process payor requests for medical records and attachments and upload using payor websites.
• Displays sensitivity to and understanding of various cultural, ethnic, racial, and socioeconomic backgrounds.
• Performs other functionally related duties as assigned

Qualifications:

Required:

• HS Diploma or passage of a high school equivalency exam.
• Successful completion of Certified Revenue cycle certification obtained within one year of employment.
• 2 years of office experience.
• Strong verbal, written, and interpersonal communication skills.
• Typing of 35 wpm along with the ability to operate basic office equipment.
• Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds.

Preferred:

• Experience with physician and/or hospital reimbursement.
• 1 year of experience with professional billing systems.
• Experience working with third-party payers.

Physical Requirements: May sit, stand, stoop, bend, and ambulate intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Finger dexterity to operate office and audio/visual (AV) equipment required. Ability to communicate in face-to-face, phone, email, and other communications. Ability to see computer monitor and departmental documents.