Tamarack Health
Specialist - Patient Financial Services - Full Time
Tamarack Health, Ashland, Wisconsin, United States, 54806
Specialist - Patient Financial Services - Full Time
Apply for the Specialist - Patient Financial Services - Full Time role at Tamarack Health.
The Patient Financial Specialist role is a blend of billing, claims follow‑up, customer service, and payment posting. The Patient Financial Specialist plays a key part in ensuring that patients are billed correctly and that the organization is reimbursed accurately by insurance companies.
Responsibilities
Insurance Claims Processing: Submit and follow‑up with third‑party payors, resolve delays, and handle patient statements.
Maintain HIPAA compliance and ensure accuracy in billing functions.
Complete and submit claim forms for payment and statement charges per payer instructions.
Follow up on delayed claims.
Sort and distribute incoming Patient Business Services mail.
Organize, scan (if applicable), and file cash folders.
Cash Handling: Accept and post payments received from patients in person, over the phone, and via CRM/online payments.
Receive and file approvals for payment; mail statements for balance of charges when applicable.
Serve as backup for Accounts Receivable: accept payments through mail and over the counter; post checks received; balance cash and daily receipts; create daily cash sheet and payment posting batches; prepare bank deposits.
Customer Service: Act as a compassionate, professional point of contact for patients, employers, and insurance providers regarding financial matters; treat each patient/guarantor as a valued customer; demonstrate empathy, courtesy, and professionalism; maintain a positive and professional image.
General Support: Assist with mail, phone coverage, and support other roles during absences (e.g., PFS Specialist, Prior Authorization Credentialing Specialist); assist the switchboard in emergency situations by serving as a runner for Patient Access.
Education / Experience
Completion of high‑school diploma or equivalent.
Ability to read, write, and communicate effectively in English.
Prior experience with typing and computer use.
Proficiency in Microsoft Office applications; ability to learn electronic billing software within 60 days of hire.
Ability to work effectively in a fast‑paced environment with frequent interruptions.
Strong customer service skills and ability to remain calm in stressful situations.
Excellent communication skills for explaining bills, insurance issues, and answering patient questions.
Understanding of medical terminology and insurance guidelines/policies.
Strong attention to detail and organizational skills; note‑taking experience preferred.
Experience in finance‑related areas such as accounts receivable, patient billing, or insurance claims processing preferred.
Professional Skills & Expectations
Take responsibility for learning, applying, and modeling service standards in all encounters.
Participate in service improvement training and activities.
Help others understand and apply service standards in customer interactions.
Participate in special projects and/or committee work.
Actively recognize peers.
Adhere to STAR Standards: Service, Teamwork, Accountability, Respect.
Maintain confidentiality in compliance with state and federal law, including HIPAA.
Complete annual in‑service(s).
Accountable for completion of training required for job description.
Reliable in attendance and punctuality.
Demonstrate safety practices in job performance.
Demonstrate knowledge of compliance program/hotline.
Resolve conflict productively by communicating with those involved and limiting discussion with those not involved.
Refrain from gossip or negative commentary about customers.
Support organizational and departmental goals and performance improvement activities.
Comply with all rules, regulations, laws, policies, procedures, and standards.
Demonstrate respect for diverse cultural, religious, and philosophical values.
Comply with Cell Phone policy.
Comply with Computer Usage policy.
Comply with Tamarack Health policies.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
The Patient Financial Specialist role is a blend of billing, claims follow‑up, customer service, and payment posting. The Patient Financial Specialist plays a key part in ensuring that patients are billed correctly and that the organization is reimbursed accurately by insurance companies.
Responsibilities
Insurance Claims Processing: Submit and follow‑up with third‑party payors, resolve delays, and handle patient statements.
Maintain HIPAA compliance and ensure accuracy in billing functions.
Complete and submit claim forms for payment and statement charges per payer instructions.
Follow up on delayed claims.
Sort and distribute incoming Patient Business Services mail.
Organize, scan (if applicable), and file cash folders.
Cash Handling: Accept and post payments received from patients in person, over the phone, and via CRM/online payments.
Receive and file approvals for payment; mail statements for balance of charges when applicable.
Serve as backup for Accounts Receivable: accept payments through mail and over the counter; post checks received; balance cash and daily receipts; create daily cash sheet and payment posting batches; prepare bank deposits.
Customer Service: Act as a compassionate, professional point of contact for patients, employers, and insurance providers regarding financial matters; treat each patient/guarantor as a valued customer; demonstrate empathy, courtesy, and professionalism; maintain a positive and professional image.
General Support: Assist with mail, phone coverage, and support other roles during absences (e.g., PFS Specialist, Prior Authorization Credentialing Specialist); assist the switchboard in emergency situations by serving as a runner for Patient Access.
Education / Experience
Completion of high‑school diploma or equivalent.
Ability to read, write, and communicate effectively in English.
Prior experience with typing and computer use.
Proficiency in Microsoft Office applications; ability to learn electronic billing software within 60 days of hire.
Ability to work effectively in a fast‑paced environment with frequent interruptions.
Strong customer service skills and ability to remain calm in stressful situations.
Excellent communication skills for explaining bills, insurance issues, and answering patient questions.
Understanding of medical terminology and insurance guidelines/policies.
Strong attention to detail and organizational skills; note‑taking experience preferred.
Experience in finance‑related areas such as accounts receivable, patient billing, or insurance claims processing preferred.
Professional Skills & Expectations
Take responsibility for learning, applying, and modeling service standards in all encounters.
Participate in service improvement training and activities.
Help others understand and apply service standards in customer interactions.
Participate in special projects and/or committee work.
Actively recognize peers.
Adhere to STAR Standards: Service, Teamwork, Accountability, Respect.
Maintain confidentiality in compliance with state and federal law, including HIPAA.
Complete annual in‑service(s).
Accountable for completion of training required for job description.
Reliable in attendance and punctuality.
Demonstrate safety practices in job performance.
Demonstrate knowledge of compliance program/hotline.
Resolve conflict productively by communicating with those involved and limiting discussion with those not involved.
Refrain from gossip or negative commentary about customers.
Support organizational and departmental goals and performance improvement activities.
Comply with all rules, regulations, laws, policies, procedures, and standards.
Demonstrate respect for diverse cultural, religious, and philosophical values.
Comply with Cell Phone policy.
Comply with Computer Usage policy.
Comply with Tamarack Health policies.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr