Terry Reilly Health Services
  • 20-Jan-2023 to Until Filled (MST)
  • Patient Financial Services
  • Nampa, ID, USA
  • Full Time

Medical, Dental, Vision, FSA, Disability, Life Insurance, Retirement, and PTO.


At Terry Reilly we believe we are successful when we have a healthy, thriving community. This is accomplished as a result of our mission-driven and talented team.

We provide integrated care throughout the Treasure Valley with our medical, dental and behavioral health services - allowing our employees the unique ability to experience several disciplines of health care. It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the office. We also provide our employees with excellent benefits including options for free healthcare.


GENERAL RESPONSIBILITIES

Effectively oversees and identifies trends and mitigates potential problems with third party and patient payments. Assists in maintaining practice management system.


ESSENTIAL DUTIES

  • Supervises the PFS posting staff and its functions including day-to-day operations and planning. Makes decisions about strategies for improving processes and training.
  • Hires and supervises posting staff.
  • Assists in the maintenance of the practice management system as it pertains to the posting and collections functions. Works closely with our software support to resolve billing issues or system problems.
  • Tracks third-party payment amounts and has a general sense of payer payment rates to identify and report any potential payment problems of the major medical and dental payers.
  • Back up any position in the PFS Department as needed. This will include but is not limited to billing, contract billing for both TR and SANE, denials, account maintenance, OB package adjustments, hospital billing, return mail, provider enrollment, chart auditing, refunds, collections, etc.
  • Assists PFS Manager in writing, training, and implementing department policies as requested or needed by Corporate/Medical Leadership. Assists in maintaining a current electronic AR manual.
  • Reviews and tracks monthly payment logs to effectively balance end of month data with accounting. Takes appropriate action on payments and or refunds to ensure proper allocation is made for accounting.
  • Handles patient and third-party carrier inquiries related to payments and refunds.
  • Identifies and communicate through PFS manager resources for advanced training opportunities for PFS Billing staff.
  • Maintains professional competency through continuing education opportunities and attendance of professional meetings and workshops.

MINIMUM QUALIFICATIONS

  • 3 years medical, dental, behavior health office coding and billing experience.
  • Demonstrated knowledge and understanding of Medicare, Medicaid and major insurance carrier regulations, procedures, and plans.
  • Highly analytical and can propose multiple solutions to problems - recommending and defending their strongest solution.
  • Ability to work with minimal supervision.
  • Strong customer service skills.
  • Ability to effectively communicate and interact with physicians and coworkers, hospital staff, third-party payors, patients, and the public.
  • Ability to read and follow oral and written instruction.
  • Computer proficiency in Word and Excel.

PREFERRED QUALIFICATIONS

  • Five or more years of experience in a medical and /or dental office.
  • Bilingual in English and Spanish.
  • CPB and or CPC credentials.

Terry Reilly Health Services is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected Veteran status.

Terry Reilly Health Services
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