Patient Financial Services Representative

HorizonLoveland, CO
107d$17 - $26

About The Position

Horizon Laboratory is looking for a Patient Financial Services Representative who has a background in either medical registration or claims processing. This is a full-time PFS position which operates Monday - Friday 8-4:30 and although this is a non-patient facing role, we still help people. This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate.

Requirements

  • High school diploma/GED or equivalent working knowledge.
  • Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.
  • Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
  • Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
  • Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

Nice To Haves

  • Work experience with the Company's systems and processes is preferred.
  • Previous cash collections experience is preferred.
  • Additional related education and/or experience preferred.

Responsibilities

  • Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services.
  • Verifies patient's demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s).
  • Obtains federally/state required information and all consents and documentation required by the patient's insurance plan(s).
  • Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process.
  • May provide financial counseling to patients and their families, explaining company financial policies and providing information as to available resources.
  • Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals.
  • Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns.
  • Consistently meets monthly individual productivity goal as determined by management.
  • Provides a variety of patient services and financial services tasks.
  • Works independently under regular supervision and follows structured work routines.

Benefits

  • Option to participate in a variety of health, financial, and security benefits.
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