Patient Financial Services Specialist
Job Details
Family Health/ La Clinica-Wautoma - Wautoma, WI

Responsible for timely & accurate billing of patient accounts. Ensures accuracy and complete information appears on 1500 & UB92 billing, dental claim form, statements, collections letters and/or electronic billing system. Forwards or transmits the proper payer within the time constraints of the department. Timely & appropriate follow-up of accounts.

  • Collects, sorts & verifies accuracy of information on claim and corrects as needed before submission of claim.
  • Generates and submits WWWP, Medicaid, Medicare, Commercial Ins, Workers Comp, self pay billing claims by paper and/or electronic process daily.
  • Responsible to complete the credit balance report and prepare refunds as appropriate.
  • Submits quarterly Medicare credit balance report as required by CMS.
  • Research unpaid accounts and performs timely follow-up of accounts to ensure payment.
  • Reviews Medicaid/Medicare websites weekly to stay current on changes.
  • Assist patients with questions regarding bills as appropriate, handles daily phone calls, and mail correspondence.
  • Performs other tasks related to the billing and resolution of patient accounts.
  • Responds to mail received daily.
  • Operates computer to enter retrieve data and type correspondence and reports.
  • Establishes payment plans according to facility criteria/guidelines.
  • Understandings of day close procedures and provide back-up, as necessary.
  • Process mail check posting, statements, collection letters, and outreach charge entry as appropriate.
  • Completes follow up on patient accounts, including rejections and denials.
  • Must adhere to FHLC policies and procedures.
  • Regular and Reliable Attendance.
  • Other duties as assigned.

Family Health La Clinica is proud to be an Equal Opportunity Affirmative Action employer.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. This position requires an individual, who has the ability to work independently, is able to work under pressure, is analytical and has excellent problem-solving skills. The ability to respect the confidentiality of patient information while performing job duties. Ability to establish and maintain effective working relationships with patients, employees and public.

High School Diploma or equivalent required. Proficient typing & computer skills required. Previous experience in medical/dental billing or business office practices preferred.Knowledge of medical/ dental terminology and coding preferred.

Family Health La Clinica(FHLC) requires employees to be vaccinated against COVID-19, or hold a legally recognized exemption as a condition of employment.  Where permitted by law, candidates who are offered a position will be asked about their vaccination status, which must meet minimum business requirements. All religious, medical, or other legally recognized exemptions regarding vaccination status will be considered.