Financial Services Rep

Loma LindaSan Bernardino, CA
22h

About The Position

The Financial Services Representative is responsible for verifying eligibility for both physician and hospital based services, entering patient demographics, confirming billing information, and documenting incoming authorizations and other correspondence. Performs review, quality control, indexing, releasing, and other processing of documents received to ensure the timeliness and integrity of the complex patient record is maintained on the electronic document system for patient care, revenue cycle operations and medicolegal issues. Works to serve all facilities licensed under LLUMC, contracted LLUAHSC organizations, FMG practice groups, and other entities. Outcomes of work has high impact on federal regulatory status, compliance, grant funding, coding and billing, payors and reimbursement, and timely access of information for quality patient care. Performs other duties as needed.

Requirements

  • High School Diploma or GED required.
  • Minimum one year of experience required; preferably in healthcare registration, authorization, or insurance.
  • Knowledge of health insurance networks, exceptional communication, interpersonal skills and efficiency.
  • Medical terminology preferred.
  • Able to keyboard 35 wpm.
  • Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
  • Operate/troubleshoot basic office equipment required for the position.
  • Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.
  • Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
  • Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Nice To Haves

  • Medical terminology preferred.

Responsibilities

  • verifying eligibility for both physician and hospital based services
  • entering patient demographics
  • confirming billing information
  • documenting incoming authorizations and other correspondence
  • Performs review, quality control, indexing, releasing, and other processing of documents received to ensure the timeliness and integrity of the complex patient record is maintained on the electronic document system for patient care, revenue cycle operations and medicolegal issues.
  • serve all facilities licensed under LLUMC, contracted LLUAHSC organizations, FMG practice groups, and other entities.
  • Performs other duties as needed.
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