Patient Financial Representative - Patient Accounting - FT 1.0 (80 hrs biweekly)

MEMORIAL HEALTH SYSTEM • Reno, OH

12d • Onsite

About The Position

In an environment of continuous quality improvement, the Patient Financial Representative performs patient accounting duties at a professional and primarily independent level. Responsibilities may include billing, collections, credits, and customer service. The role follows ethical billing practices, exhibits the MHS Standards of Excellence, provides exceptional customer service using AIDET, maintains confidentiality and compliance with patient accounting policies and procedures, stays informed about insurance company updates and federal and state guidelines, and completes special projects and other assigned duties.

Depending on assigned functional area, the position reviews, edits, and submits claims; follows up on denials and refunds; answers billing and refund inquiries; and works with patients and payers to resolve account issues. It may also involve discussing patient accounts, determining payment arrangements using hospital guidelines, explaining financial assistance options, assisting walk-in customers and callers, processing payments, managing cash drawers and deposits, working with case management to secure patient valuables, and sorting and distributing team mail.

Requirements

• High school diploma, GED, or equivalent required.
• Good knowledge of commercial, federal, and state payer requirements, or ability to acquire and retain that knowledge.
• Ability to work with computerized systems; basic clerical and interpersonal skills; and typing speed of 40 words per minute.
• Ability to read, understand, and follow oral and written instructions.
• Computer skills, including Microsoft Word and Excel.
• Excellent organizational, time-management, and customer-service skills.
• Good telephone voice and skill in handling business transactions, including interactions with irate patients.

Nice To Haves

• At least 2 years of experience in a hospital, medical office, or clinic setting in healthcare preferred.
• Previous education or experience in medical billing, or graduation or certification from a medical office program, preferred.

Responsibilities

• Follow ethical billing practices and maintain compliance with patient accounting policies and procedures.
• Provide exceptional customer service using AIDET and maintain strict confidentiality.
• Stay aware of insurance company updates, including federal and state guidelines.
• Complete special projects and other duties as assigned.
• Review, edit, and submit claims; complete assigned daily, weekly, and monthly reports.
• Follow up on denials and resubmit claims, including reviewing correct reimbursement, until accounts are resolved.
• Respond to billing inquiries from patients, guarantors, families, attorneys, and third-party payers and resolve problems.
• Discuss patient needs and provide information to billers, Patient Financial Advocates, and other appropriate departments.
• Use patient information and hospital guidelines to calculate and establish payment plans and discuss options for resolving balances.
• Contact patients with outstanding balances to review accounts, assess eligibility for financial assistance, arrange payments, or settle balances in full.
• Maintain knowledge of hospital-sponsored charity care requirements and guidelines and external financial assistance resources.
• Prepare and submit insurance and self-pay refund requests, and follow up with third-party payers until accounts are resolved.
• Respond to refund inquiries and resolve related problems.
• Assist walk-in customers and callers with billing, financial assistance, and payment processing.
• Review account processing to help patients understand their remaining responsibility.
• Manage daily cash drawer, reconciliation, and deposits, including deposits for multiple locations.
• Work with case management to secure patient valuables.
• Sort and distribute team mail.

Benefits

• Affordable, comprehensive benefit package for full-time and flex-time employees.
• Bonus eligibility for qualifying full-time or flex-time employees; eligibility is determined upon offer.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED