Sr Account Follow-up Spclst (WI or MN Resident)

Description:

About Children’s Minnesota

Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children’s Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospitals, nine primary care clinics, multiple specialty clinics and seven rehabilitation sites. As The Kids Experts™ in our region, Children’s Minnesota is regularly ranked by U.S. News & World Report as a top children’s hospital. Find us on Facebook @childrensminnesota or on Twitter and Instagram @childrensmn. Please visit childrensMN.org .

Children’s Minnesota is proud to be recognized by Modern Healthcare as one of 2023’s Top Diversity Leaders. The national honor recognizes the top diverse healthcare executives and organizations influencing public policy, care delivery, and promoting diversity, equity and inclusion in their organizations and the industry.

Position Summary



Employee must reside in Minnesota or Wisconsin as this role is currently driving in to office.

The Sr Account Follow-up Specialist is responsible for the timely and accurate resolution of accounts receivable for inpatient and outpatient accounts. The duties include working with insurance payers to resolve issues and facilitate prompt payment of claims. This position is highly focused on the resolution of insurance processing delays and denials for the more complex claims. Provides training to the team and responds to questions as needed. Works cooperatively with coworkers and clients with minimal supervision. Escalates trends and claim issues to management for resolution. Routinely uses the patient accounting system, electronic claims systems, verbal and written skills to expedite resolution of claims and issues. The Sr Specialist position performs specialized duties for the team and assists management with daily activities. Has thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements.

Working experience in Homecare billing & follow up, working knowledge of billing forms HCFA-1500 & UB04 as well as EOB-explanation of benefits, good analytical skills, communication skills.

Qualifications:

License/Certification/Registration required? No

Education:

*HS Diploma or equivalent required

*Business courses such as medical terminology, accounting, finance, cash applications, typing, and word processing preferred

Experience:

*Minimum of 5+ years Business Office experience in a healthcare environment required

*Hospital or Physician practice billing experience preferred

Knowledge/Skills/Abilities:

*Working knowledge of billing and follow-up processe

*Excellent customer service through oral and written communication to patients, families, and other external and internal contact

*Excellent communication skills when dealing with patients, families, public, co-workers, and professional office

*Knowledge of HIPAA privacy standards and PCI compliance regulation

*Proficient use of systems (computer, applications, phone systems)

*Basic knowledge of medical terminology

*Detail-oriented, good organizational skills, and ability to be self-directed

*Strong time management skills, managing multiple priorities and a heavy workload in a high-stress atmosphere

*Flexibility to perform other tasks as needed in an active work environment with changing work need

*High-level problem solving, analytical, and investigational skill

*Ability to learn quickly and meet continuous timeline

*Exhibits behaviors consistent with principles of excellent service

*Knowledge of payer contract

*Demonstrate and maintain competency as required for job title and the unit/area(s) of assignment

*Exhibits behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency and financial responsibility, safety, partnership and service, teamwork, compassion, integrity, and trust and respect)

*Meets performance standards for productivity and quality

*Demonstrates knowledge and understanding of organizational policies, procedures and systems

Physical Demands

Please click here to view the Physical Demands

The posted pay range represents rates for a grouping of multiple jobs within a salary grade. We carefully consider a wide range of factors including but not limited to market indicators for the specific role, the skills, education, training, credentials and experience of the candidate, and organizational needs. Base pay is just one piece of the total rewards program offered by Children's Minnesota.

All job offers are contingent upon successful completion of an occupational health assessment, drug screen, background investigation, and compliance with the U.S. Government Form I-9, Employment Eligibility Verification.

Children's Minnesota is proud to be an equal opportunity employer whose staff is representative of its community and considers qualified applicants for open positions without regard to race, color, creed, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.