Days

Boundary Community Hospital•Bonners Ferry, ID

1d•Onsite

About The Position

The Financial Representative is responsible for the collection of all monies due for services rendered in accordance with established credit policies. This role involves reviewing and submitting claims, performing collection and follow-up activities, analyzing insurance liability, processing payments, and addressing patient inquiries regarding their accounts. The position also requires accurate patient registration, maintaining knowledge of relevant regulations, and adhering to infection control standards.

Requirements

High School diploma or GED equivalency
Working knowledge of medical terminology, billing, coding and accounting strongly preferred.
Insurance, Medicare and Medicaid etc. billing experience strongly preferred.

Responsibilities

Reviews and submits claims to third party payers from patient accounting system.
Reviews and corrects daily rejection/submission reports to confirm claims submission.
Performs collection and follow-up activities on outstanding accounts receivable in accordance with policies and procedures.
Analyzes information to determine primary insurance liability in cases requiring coordination of benefits.
Reviews Remittance Advice payments and prepares claims to send to secondary or tertiary payers.
Calculates deductible and coinsurance and keys in crossovers into Medicaid system.
Reviews Payment denials and determines the next step needed to rectify the problem before resubmitting a corrected claim for payment.
Researches, identifies and rectifies any special billing circumstances that may be affecting or delaying prompt payment on patient accounts.
Identifies problem delinquencies and makes recommendations for their disposition.
Monitors monies owed to assure that the appropriate amount is indicated under the correct financial class (bucket).
Types concise notes in Meditech and NextGen to aid others who may be reviewing an account.
Prepares business Office bank deposit which is taken to the bank daily.
Enters credit card payments.
Registers patients accurately for their hospital visit.
Addresses patients, visitors and co-workers in a pleasant and respectful manner.
Receives and answers inquiries concerning patients or family questions regarding their accounts.
Takes payments for those presenting to the business office.
Reacts properly and follows correct policies and procedures in an emergency and/or disaster.
Stays informed of any statutes and regulations that could affect collection of accounts receivable.
Wears Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by the Hospital.