Job Details

INSPIRING HEALTHY LIVES

through community

At Natividad, our dedication to the people of Monterey County is at the heart of everything we do—from the health care services we provide to the specialized programs we promote. This commitment to our community spans more than 130 years and, more importantly, has touched countless lives. It has also earned us a Joint Commission ranking in the top percentile of hospitals nationwide. If you believe in inspiring healthy lives by focusing on community-based care, consider joining Natividad today.

PATIENT FINANCIAL SERVICES SPECIALIST II

Natividad is currently seeking several permanent full-time Patient Financial Services Specialist II's. Under general supervision, the incumbent performs the full range of duties, and may do so on a rotational or specialization basis of assignment. The Patient Financial Services Specialist II is responsible for preparing patient accounts to generate and issue patient bills for services. This position interviews patients, evaluates patient financial resources, establishes payment terms, performs collections and performs other related work as assigned.

Reponsibilities:

• Reviews, verifies, obtains and corrects patient financial status and payor source information, medical diagnosis, laboratory and other diagnostic services information, hospital/clinic services and supplies, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of patient bills, and eligibility for coverage
• Enters data into and operates a computerized patient account system
• Researches and resolves missing or conflicting information
• Interviews and works with patients, families and others regarding financial resources, eligibility for coverage, status and basis of charges, payment requirements, payment plans, collections, and related matters, in person, by telephone and by letter
• Works with other service providers, claim adjudicators, insurance companies, private payors, governmental payor sources, the County Revenue Recovery Division, and others to obtain, correct or provide information; verify eligibility; process patient accounts; verify procedures; initiate collection and/or resolve disputed, unprocessed, and other claims requiring follow-up
• Assembles pre-billing materials; prepares, generates and sends individual, insurance, governmental, crossover, and other bills for medical care related services; evaluates, modifies and resubmits bills
• Evaluates and processes bad debt accounts; performs collection and follow-up activities; refers uncollectible accounts to collection services
• Requests completion of additional forms or information for denied claims or special processing requirements
• Reconciles accounts; posts payments; adjusts balances to reflect denials, adjustments, shares-of-cost, payments, and other modifications to balances; prepares refund packages for approval
• Reviews billing documentation; resolves issues that would prevent accurate, prompt claim billing
• Runs computerized reports to search for missing or conflicting information
• Troubleshoots download problems; communicates problems and recommendations to supervisor for approval
• May work in a specialty area such as pre-billing, billing, or collections

Minimum Qualifications:

One year of experience performing duties directly related to patient account billing, patient financial resources evaluation, account collection or assessment of patient eligibility for specialized medical care financial programs; OR one year of experience at a level equivalent to Monterey County's Account Clerk; OR two years of experience equivalent to Monterey County's Patient Financial Services Specialist Representative I.

Successful candidates will have working knowledge of:

• Federally Qualified Health Center billing procedures and operations 
• Insurance, other private workers compensation, governmental and special payor requirements, procedures, codes and forms  
• Hospital/clinic billing procedures and operations
• Sources and eligibility requirements for publicly-funded medical care payment programs  
• Clerical bookkeeping practices and procedures.
• General clerical office practices and procedures, including operation of common office equipment and filing systems  
• Current procedural terminology and other reference and resource materials related to patient account activities  
• CPT coding procedures

For application materials, contact Natividad, HR, 1441 Constitution Blvd, Salinas, CA 93906; call us at (831) 783-2700; apply online at https://www.governmentjobs.com/careers/montereycounty/jobs/3928385/patient-financial-services-specialist-ii?page=3&pagetype=transferJobs or visit http://www.natividad.com.

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EOE/M/F/H/V