Billing Specialist Lead, Day Shift, Patient Financial Services

Support Center

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.

 

Adventist HealthCare seeks to hire an experienced Billing Specialist Lead who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

As a Billing Specialist Lead, you will:
• Coordinate and monitor billing claims electronically as well as hardcopy.
• Submit adjusted claims due to audits, changes to charges, diagnosis, billing codes, and DRG.
• Understand and review bills both UB04 and/or 1500 forms to third-party payers daily.
• Supports denials prevention efforts to collaborate on ways to prevent denials due to billing concerns or challenges.
• Communicate and coordinate with Clinical Coders when issues arise due to coding edits.
• Ensure filing of all secondary and tertiary claims after primary claims have been paid.
• Work on all assigned claims daily by resolving edits, payer rejections, validating claim errors, and forwarding claims to other departments as needed.
• Handles all customer calls both internal and external in a professional and courteous manner
• Steps into billing work queues and associated tasks to review, analyze, and provide corrective action.
• Works in the EHR system to troubleshoot and escalate any barriers or concerns to the manager in a timely articulated and documented format
• Work with team to keep work queues at agreed upon levels to keep on task with department goals and objectives.
• Report updates and findings to the Billing Supervisor and PFS leadership as needed

Qualifications include:
• Good organizational, written, and verbal communication skills
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
• Ability to work as an independent contributor.
• Proficiency in Microsoft Office, including Outlook, Word and Excel.
• Fluency in Cerner and/or claims scrubber activities is desirable.
• Strong attention to detail and accuracy, using problem-solving skills
• At least 2-4 years of experience in billing expertise in an acute care setting
• High School Diploma required; some college preferred.
• Familiarity with Cash Posting functions and duties in an Acute Hospital setting preferred

Work Schedule:

Day Shift

8:00 to 5:00

#GR8 Accounting & Finance

Pay Range:

$21.04 - $29.74

If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Non-Exempt)

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts

• Recognition and rewards for professional expertise

• Free Employee parking

• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire

• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)

• Paid Time Off

• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period 

• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance

• Subsidized childcare at participating childcare centers

• Tuition Reimbursement

• Employee Assistance Program (EAP) support

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States