Patient Financial Services Specialist II

Performs a variety of patient accounting functions including insurance billing, self-pay billing, remit analysis, cash posting, accounts receivable management, claims follow-up, charge validation and analysis, denial analysis and resolution, and tasks supporting month-end close processes.

SEARHC is a non-profit health consortium serving the health interests of residents of Southeast Alaska. The organization emphasizes employee development and professional advancement.

Key responsibilities

• Validate changes and billing information.
• Ensure proper charge codes, billing, and adjudication of claims in accordance with federal, state, and private billing policies and reimbursement principles.
• Stay current on payor-specific charging and billing rules.
• Assist with billing and rebill projects.
• Identify, analyze, and reconcile billing errors or omissions.
• Answer patient billing questions and resolve account issues.
• Manage self-pay accounts in accordance with discount, bad debt, and charity policies.
• Locate and monitor delinquent self-pay accounts and arrange repayment.
• Collaborate with financial counselors to identify alternative funding sources.
• Log transactions, allocate funds appropriately, and reconcile cash activity.
• Research and resolve unapplied and misapplied cash.
• Process incoming correspondence, including EOBs, letters, and denials.
• Track denials and support follow-up with billing teams.
• Facilitate insurance and patient refunds and maintain refund documentation.
• Post cash, checks, credit cards, and electronic funds within service-level expectations.
• Resolve rejected electronic transactions and support electronic payer setup.
• Document incoming claim denials and support follow-up and appeals.
• Participate in updating organizational procedures, forms, and manuals.
• Perform general clerical duties and other assigned tasks.