Patient Financial Services Representative II

Fairview Health Services•St. Paul, MN

1d•Onsite

About The Position

Fairview is looking to hire a Patient Financial Services Representative II to join our Revenue Recovery Team. This is a full-time, benefit-eligible position. The Patient Financial Services Representative II plays an important role in supporting revenue cycle operations by reviewing and resolving outstanding patient accounts, researching billing and payment issues, and working with insurance payers to ensure accurate and timely reimbursement. The ideal candidate will have experience in healthcare billing, insurance follow-up, account resolution, and denial management, along with strong problem-solving, communication, and customer service skills. This position is responsible for billing and collection of accounts receivable for inpatient and outpatient accounts, ensures expected payment is collected and accounts are fully resolved, and resolves complex customer service issues. This position understands the importance of evaluating and securing all appropriate financial resources for patients to ensure proper adjudication.

Requirements

1 year in a medical billing office setting or relevant experience
Organizational skills
Communication skills
Attention to detail

Nice To Haves

2 years of medical billing office setting experience
MS Office experience
Insurance / follow up experience
Coordination of benefits experience
Epic, Brightree, Billing Bridge, or comparable software account experience
Experience working with medical terminology
Experience working with CPT-4 and ICD-10
Knowledge of FV account review experience
Knowledge of FV system applications
Knowledge of FV RCM workflows

Responsibilities

Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate.
Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization.
Performs the best practice routine per department guidelines.
Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback.
Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible.
Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients.
Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts.
Responsible for processing external correspondence in a timely and efficient manner.
Ensures internal correspondence is clearly and professionally communicated and processed expeditiously.
Responsible for verification of insurance and/or patient demographics
Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts.
Educates patients and/or guarantors of patient liability when appropriate.
Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work
Understands and Adheres to Revenue Cycle’s Escalation Policy
Demonstrates proficiency through daily work
Responsible for processing accounts through multiple workflows
Responsible for working accounts requiring more attention to detail
Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work.
Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes.
Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment.
Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary.