Patient Financial Rep I

Great Plains Health•North Platte, NE

About The Position

The Patient Financial Rep I monitors patient accounts from billing through final resolution. The role follows up with insurance companies, assists patients with financial and billing questions, arranges payments, and performs collection activities when necessary. The position works account follow-up lists, addresses billing issues and claims, updates patient and insurance information, documents account activity, and provides customer service to patients and payers.

Requirements

High school diploma or equivalent required.

Responsibilities

Work system-generated account worklists and follow up on accounts the same day they appear.
Answer incoming calls from insurance companies and patients, resolving issues within two working days.
Combine multiple patient accounts under one guarantor when requested and establish payment plans for patient balances.
Follow up on patient account balances and denied or partially paid claims, provide customer service, and resolve contractual differences with insurers for contracted plans.
Communicate with payers to support accurate and timely electronic claims filing according to department guidelines.
Resolve patient complaints and insurance-billing requests, initiate accurate account adjustments, and follow billing problems through to conclusion.
Manage the department’s multiline phone, transfer calls as appropriate, and answer patient questions within prescribed guidelines.
Review and update patient demographics and insurance information to support correct billing.
Understand remittance advice and payment rules for Medicare, Medicaid, workers’ compensation, commercial insurance, and other payer types.
Submit paper claims and supporting documentation as required; generate HCFA 1500 forms when needed and print claims and documentation for primary and secondary insurers.
Enter clear and timely account notes about claims, issues, correspondence, and interactions; act on correspondence within two days of receipt and document the action taken.
Manage account worklists and daily mail within department timelines, and document account interactions clearly and concisely in the Practice Management System.
Perform additional duties as assigned.