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Billing Specialist II
Billing Specialist II-July 2024
Lexington
Jul 15, 2026
About Billing Specialist II

  Overview

  Saint Joseph Hospital is a 433-bed facility located in Lexington Kentucky. Founded in 1877 a small group of Sisters of Charity of Nazareth in Kentucky led by Sister Euphrasia Stafford began their health ministry. Their mission was to provide compassionate care to the poor and underserved – a tradition still carried out today. Saint Joseph Hospital primarily serves central and eastern Kentucky with a full range of services including distinguished awards for cardiology orthopedics and stroke care. CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

  Responsibilities

  JOB SUMMARY / PURPOSE

  The Financial Counselor assists patients by providing information to patients who require assistance navigating

  through their financial options.

  ESSENTIAL KEY JOB RESPONSIBILITIES

  Provide information to patients on costs, payment methods and alternatives to payments, includingcharity care.

  Work with clinic staff to proactively identify patients with potential need for financial assistance.

  Counsel patients on billing processes, hospital and clinic statements and availability of financial assistance.

  Document financial arrangements for future care.

  Provide answers to reimbursement questions regarding health-plan eligibility, benefit issues, co-pay

  requirements and medical referral requirements.

  Receive and process charity care and/or financial assistance applications.

  Work with health insurance providers to determine coverage and benefit limits.

  Prepare estimates of procedures, calculates payments requirement, and informs patient of acceptable

  payment arrangements on balance, both current and previous.

  Verify financial information to determine insurance coordination of benefits, pre-certification/priorauthorization requirements.

  Explain alternative medical financing and assists in completion of applications and/or contracts in order tomeet patient needs while assuring maximum reimbursement.

  Perform other duties as assignedThe job summary and responsibilities listed above are designed to indicate the general nature of the work performed

  within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities

  required of employees assigned to this job. Employees may be required to perform other duties as assigned.

  Qualifications

  Required Education and Experience: High school diploma or equivalent required.

  Required Licensure and Certifications: N/A

  Required Minimum Knowledge, Skills,

  Abilities and Training:

   2 – 4 years related experience.

   Knowledge of clinic financial options, payment

  alternatives and insurance billing/authorization

  requirements.

   Knowledge of federal and state payor requirements,

  including Medicare, DSHS, HMO/PPO Contracts.

   Knowledge of the meaning and usage of medical

  terminology, abbreviations and coding protocols

  (e.g./ICD-10) sufficient to perform the duties of the

  position.

   Strong analytic, organizational, communication and

  interpersonal skills.

   Demonstrated knowledge of accounting, credit and

  collection laws and fundamentals, and current

  insurance and government financial assistance

  programs and regulations.

   Possess a strong work ethic and a high level of

  professionalism.

   A team player who handles multiple projects

  simultaneously in a fast paced environment.

  Pay Range

  $16.26 - $22.36 /hour

  We are an equal opportunity/affirmative action employer.

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