Patient Financial Service Associate II - Nephrology
Portland, ME, USA
Jun 29, 2021
This is the second level of a revenue cycle career path within PFS. Responsible for the specific set of patient accounting which could include the appropriate billing, training, and/or follow up/denial resolution of insurance claims within filing limits to support the proper account completion and closure prior to 120 days from the date of service. A trainer will ensure that the training and auditing needs of the department are met. Works within a team-based setting and ensures that workloads are distributed evenly. Responsible to perform the necessary account research required to determine proper governmental requirements prior to any claims submission. Supports the overall success of Patient Financial Services by demonstrating flexibility, collaboration, and cooperation in a High Performance Work Team (HPWT) environment while maintaining a quality output and a high level of production. Continues to gain knowledge in all areas of Patient Financial Services to follow the MaineHealth growth path.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High School graduate or GED preferred.
Experience: 9 months in a related Healthcare field. Hospital or Provider Based billing experience preferred.
Able to work in a high volume, fast-paced work environment and perform and prioritize multiple tasks simultaneously.
Proficiencies: Keyboard and data entry skills required. Computer experience is required with Microsoft Word and Excel, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems.
Requires the employee to have experience with, or the capability to be trained to solve problems and work towards solutions in an independent and/or team manner. For the trainer role: requires the employee to have experience with, or the capability to be trained in auditing and training.
Proven proficiency in working a minimum of one role (billing, collections, or healthcare accounts receivables training) for one payer (hospital) or one specialty (physician) or training.
Specialized knowledge: Hospital or Provider Based billing preferred.
Working knowledge of CPT, HCPCS, ICD9/10 codes.
Committed to being the trusted source for quality care – and careers.
At MaineHealth, exceptional people using the latest in advanced innovations help ensure that our northern New England communities are the healthiest they can be. From a full array of telehealth programs to the most sophisticated electronic medical records system, our clinical technology is second to none. But it’s our people who bring these medical advancements to life as they change the lives of the people in the communities we’re proud to serve.
As a non-profit family of high-quality healthcare providers, we’re working together to create strong, vibrant and healthy partnerships. We are an integrated healthcare delivery system made up of the state’s only academic medical center (and largest hospital), a large bio-medical research center, community hospitals, home care agencies, physician practices, an outpatient lab, and diagnostic and surgery centers. In addition to our clinical opportunities, MaineHealth also offers a variety of fulfilling careers in finance, human resources, information services, marketing, support services, and more!
The MaineHealth family of hospitals and healthcare organizations offers outstanding opportunities to work and live in one of the most spectacular areas of our nation. Our ongoing growth and focus on compassionate care mean a choice of challenging and rewarding career opportunities throughout our system – from mid-sized cities and small towns in the mountains to beautiful coastal communities.
The MaineHealth integrated health system includes: