FINANCE SERVICES SPECIALIST at Palms Medical Group

Trenton, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Aug, 26

Salary

0.0

Posted On

22 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Insurance Filing, Accounts Receivable, Patient Billing, ICD-10, CPT Coding, Customer Service, Microsoft Excel, Microsoft Word, Financial Reporting, Claims Processing, Data Entry, Reconciliation, Medical Records Management, Patient Communication, Office Administration

Industry

Medical Practices

Description

Description Shape Your Future. Serve Your Community. Build Your Career with Palms! What Life Working at Palms Looks Like: Mission and Meaningful Work: PMG is a not for profit, Federally Qualified Health Center (FQHC). That means it’s focused on serving underserved populations, offering affordable primary care and preventative services. For many people, that makes the work feel meaningful. Stability & Growth: PMG has been around for a long time (since 1971) and we are still expanding! Comprehensive Services & Variety: We offer a wide array of services – family medicine, pediatrics, dental, behavioral health, prenatal care, etc. – So working here gives exposure to different patient populations, conditions and settings. Patient-Centered, Community Focus: PMG emphasizes accessible care (same day scheduling, weekend appointments, bilingual staff) and works in communities throughout North Florida. It is also a Patient Centered Medical Home (PCMH), meaning there’s an emphasis on continuity of care, relationships with patients, etc. Culture & Community: Many reviews say that PMG has a “friendly, compassionate, professional” environment. There is pride among the staff in giving back to the community. Perks: Competitive Wages Comprehensive Health Coverage: Medical, Dental and Vision Insurance Professional Development Opportunities Employee Assistance Programs Company Paid Life Insurance 401k with 5% Match 11 Paid Holidays 20 Days PTO Recognition and Rewards Community Impact Position Summary The Financial Services Specialist is responsible for a variety of complex clerical and accounting duties related to patient billing. This includes verifying invoice information, maintaining third party billing records, and resolving various billing-related issues. Requirements Description of Primary Attributes 1) Customer Service Responsibilities a) Provide courteous and efficient support services to patients in alignment with Palms Medical Group (PMG) policies and procedures. b) Answer, screen and route telephone calls in a polite and professional manner (within 3 rings). c) Operate multiline telephone systems effectively, including transferring calls, managing voicemail, and queue handling. d) Research and respond to patient billing inquiries via phone or in writing. Maintain thorough knowledge of PMG departments and services. Insurance filing Responsibilities a) Submit all insurance claims, including but not limited to worker’s comp, Medicare, Medicaid, private carriers and contractual arrangements in accordance with the policies and procedures of PMG. b) Identify and investigate changes in reimbursement patterns, report findings to the VP of Financial Services. c) Maintain files on claim forms and explanation of benefits d) Submit private insurance claims electronically or by mail; ensure billing accuracy in accordance with the PMG’s policies and procedures. 2) Stay current on all insurance carrier guidelines. Billing Responsibilities a) Process billing to patients and third-party reimbursement claims; maintains supporting documentation files and current patient addresses. b) Process patient statements, keys data, posts transactions and validate accuracy in reports. c) Monitor unpaid claims, submit tracers, and follow up as needed; resubmit claims as necessary. d) . Reconcile receipts with patient and third-party payments; post and apply payments to accounts e) Manage accounts receivable, including follow-up on outstanding balances and unpaid claims in accordance with the policies and procedures of PMG. 3) Administrative Duties a) Adhere to PMG’s Accounting Policy Manual. b) Provide backup for front desk data entry to including patient registration, visit details, and billing updates. c) Manage sliding fee program eligibility and recordkeeping to ensure compliance Prepare collection reports and ensure timely distribution of patient correspondence. Participate in QA/QI and other meetings as requested. d) Perform MIS duties in the absence of the VP Financial Service’s (daily, monthly and annual reports). e) Provide financial reports to the CFO, including, month end, provider productivity, depreciation, etc. f) Support the CFO with collections, audits, surveys, and grant applications. Perform any other duty assigned by the Financial Services Coordinator, VP of Financial Services, CFO or CEO to improve the efficiency of PMG. General Development: 1) Must be organized, self-motivated, and detailed oriented. 2) Job duties require the ability to work independently and as part of a team 3) Expected to multitask 4) Assist in the training and mentoring of coworkers by sharing knowledge, providing guidance, and supporting skill development. Professional & Technical Knowledge: 1) Employee will have a Working Knowledge of the following office equipment: Multiline Telephone Copier Computer Email Scanner Fax Machine Calculator 2) Employee will be expected to navigate and operate Microsoft Office suite products, including Word and Excel Licenses & Certifications: High School Diploma or Equivalent ICD-9 and ICD-10 Certification Two years prior experience in CPT, medical billing and insurance filing Communications Skills: Effectively communicates complex and/or technical information to co-workers, patients and/or vendors Physical/Mental/Emotional Demands: Standing for long periods of time Sitting for long periods of time Viewing a computer monitor for long periods of time Bending Stretching / Reaching Walking short distances Lifting up to 50 pounds Operating office equipment (computer, fax machines, telephones and copy machines) Reading forms / Instructions / Patients Charts Communicating well to people of various ages, educational levels, cultural backgrounds in person or by telephone Exposure to potentially violent / irate patients Health / Safety Consideration of Position Exposure to chemical infectious / contagious illness Exposure to chemical and inhalation of antibiotics during reconstitution Exposure to X-Ray radiation Exposure to a variety of scents and odors Must utilize universal precaution in clinical or exposure situations as prescribed by federal state, and local guidelines and /or laws

Responsibilities

The Financial Services Specialist manages complex clerical and accounting duties related to patient billing and third-party insurance claims. Responsibilities include processing payments, reconciling accounts receivable, and providing financial reports to the CFO.