Company Description:
Axis Community Health, a nonprofit established in 1972, provides comprehensive healthcare services to over 15,000 individuals across all age groups in the Tri-Valley area. The mission of Axis Community Health is to provide quality, affordable, accessible and compassionate health care services that promote the well-being of all members of the community.
Our mission is rooted in delivering high-quality patient care, encompassing primary healthcare, mental health support, and dental services. We are committed to ensuring access to essential healthcare services for every member of our community, irrespective of financial status, living situation, or insurance coverage.
Job Summary:
The role of a Patient Account Specialist is to manage billing and invoicing processes within the organization. Their primary duties include generating accurate and timely invoices, processing payments, handling billing inquiries, answering calls and ensuring compliance with company policies and industry regulations. The Patient Account Specialist will work closely with other departments such as accounting to ensure accurate billing information and resolve any issues related to billing discrepancies, provide support to the billing department, and respond to staff and patients as questions and needs arise.
Qualifications:
High School Diploma or equivalent.
One (1) year of Federally Qualified Health Center/Commercial billing insurance experience is a plus.
Account Receivables follow-up experience for designated payers is mandatory.
Ability to retrieve patient information, input information, and locate information and resources.
Ability to transmit information to payers promptly.
Ability to work through payer portals and maintain updated information.
Knowledge of CPT and ICD coding.
Knowledge of EPIC EPM/EHR is highly desirable.
Wisdom dental software knowledge is a plus.
Ability to work with minimum supervision.
Ability to communicate with Axis staff, patients and vendors effectively and professionally.
Excellent time management skills to meet goals and objectives and the ability to be at work regularly and on time.
Strong analytical, employee relations, problem-solving, and interpersonal skills.
Excellent writing, business communication, editing, and proofreading skills.
Ability to interact effectively and in a supportive manner with persons of all backgrounds.
Proactive, self-motivated and able to work independently as well as on a team with the ability to exercise sound independent judgment.
Ability to maintain a high level of confidentiality and a professional demeanor and must positively represent the organization at all times.
Ability to establish and maintain positive and professional working relationships.
Must be able to adjust priorities quickly as circumstances dictate.
Must be able to be at work regularly and on time.
Must be a dynamic self-starter with demonstrated ability to work independently or in a group setting.
A can-do attitude, attention to detail, with the ability to organize and multi-task effectively.
Ability to type a minimum of 35 WPM with minimal errors.
Must have good computer skills using Microsoft Office and the ability to use Axis departmental systems.
Must be able to use office equipment (i.e. copier, fax, etc.).
Essential Duties/Responsibilities:
Generate accurate billing invoices and process daily charges, ensuring they are correct before submission.
Manage incoming phone calls, emails, and in-basket messages, and process billing record requests.
Review self-pay documentation for accuracy, and Good Faith Estimate (GFE) workflow.
Address patient and payor inquiries regarding account and resolve billing issues, while also responding to staff questions as needed.
Review rejected and denied claims, make necessary corrections, and resubmit to ensure proper payment.
Provide the Billing Supervisor with updates on trending issues or notices.
Process and correct claim edits to ensure claims are submitted correctly, as well as reviewing reports to ensure proper insurance was added.
Post patient and insurance payments accurately and identify and resolve any patient billing issues.
Follow-up to ensure claims are paid and understanding complex reimbursement scenarios.
Submit claims to all payers in accordance with billing and collection procedures.
Manage patient work queues daily.
Initiates, files and maintains information regarding refunds or overpayments.
Adjudicate radiology and lab charges when the invoices are received.
Serves as a support to the billing department if coverage is needed.
Participate in staff meetings and attend other meetings and training events as assigned.
May be required to perform other related duties, responsibilities, and special projects as assigned.
Benefits:
Employer paid health, dental, and vision benefits to the employee.
Option to participate in a 403(B) retirement plan with employer matching contribution.
Partial educational reimbursement.
12 paid holidays.
Accrued paid time off with each pay period.
Employee discount programs.
Colleague Referral Bonus Program.
Connect with Axis:
Company Page: https://www.axishealth.org
Facebook: https://www.facebook.com/axiscommunityhealth
LinkedIn: https://www.linkedin.com/company/axis-community-health
Annual Gratitude Report: https://issuu.com/axiscommunityhealth/docs/gratitudereport2024
Physical, Cognitive, and Environmental Working Conditions:
Work is normally performed in a typical clinic office work environment (and, in some cases, telecommuting sites). The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations can be made to enable individuals with disabilities to perform the essential functions of this position if the accommodation request does not cause an undue hardship.
Physical: Occasionally required to carry/lift/push/pull/move up to 20lbs. Frequently required to perform moderately difficult manipulative tasks such as typing, writing, reaching over the shoulder, reaching over the head, reaching outward, sitting, walking on various surfaces, standing, and bending. Occasional travel to other Axis health centers and other occasional travel will be required.
Equipment: Frequently required to use repetitive motion of hands and feet to operate a computer keyboard, telephone, copier, and other office equipment for extended periods.
Sensory: Frequently required to read documents, written reports, and signage. Must be able to distinguish normal sounds with some background noise, as in answering the phone, interacting with staff etc. Must be able to speak clearly, understand normal communication, and be understood. Must be able to see clearly and have the ability to judge distances and spatial relationships to see objects where and as they actually are.
Cognitive: Must be able to analyze the information being received, count accurately, concentrate and focus on the given task, summarize the information being received, accurately interpret written data, synthesize information from multiple sources, write summaries as needed, interpret written or verbal instructions, and recognize social or professional behavioral cues.
Environmental Conditions: Frequent exposure to varied office (medical clinic/office) environments. Rare exposure to dust and loud noises.
Disclaimer: This job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, Axis Community Health reserves the right to modify or change the requirements of the job based on business necessity.
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