Employment Type : Full-Time
Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers a range of primary, specialty, and multi-specialty services including high-risk pregnancy care, inpatient psychiatric services integrated with county mental health programs, and a growing network of outpatient clinics providing personalized patient-centered wellness care. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Career Opportunities within Kern Medical include many benefits such as: Position: Hospital Business Office Specialist I/II (Auditor/Appeals) Job Description Under supervision, performs a wide variety of hospital financial services activities, which may include: processing billings, collecting money and preparing deposits, resolving customer problems and providing customer service. Patient Account Representative experience along with medical professional billing and collections experience preferred. DISTINGUISHING CHARACTERISTICS: The Hospital Business Office Specialist I/II classification performs responsible, complex assignments. Incumbents have hospital/healthcare knowledge and experience, and are expected to demonstrate proficiency and apply specific knowledge in revenue cycle activities. Essential Functions: Employment Standards: Employees must maintain all health requirements designated by Kern Medical. Knowledge of: Hospital (UB04) and professional billing (CMS1500) claim practices and procedures; state and federal government funding programs such as Medicare, Medi-Cal, California Children’s Services, TRICARE/CHAMPUS, and Workers’ Compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; medical, insurance, and coding terminology; HIPAA privacy and compliance practices. Ability to: Communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines pertaining to billing, reimbursement, contracts, and other fiscal activities; obtain information from a variety of sources, including patients and families; use computers and various software to accomplish work; perform various adjustments to accounts; establish and maintain effective working relationships with patients, families, third-party payers and guarantors, and other internal and external customers. A background check will be conducted for this classification.