Patient Financial Services Representative

Columbia Memorial Hospital•Astoria, OR

About The Position

This position is responsible for billing and/or following up on patient accounts. The representative provides customer service to patients, guarantors, and third-party payors by assisting with questions and concerns related to CMH patient account billing. The role submits timely and accurate bills to insurance companies and patients, maintains current knowledge of medical billing regulations, forms, and processes, and assists patients with account inquiries and issue resolution. Duties include obtaining accurate information from patients, answering and initiating phone calls, data entry, insurance billing, account follow-up, and public contact. The representative demonstrates commitment to excellence by adhering to the CMH Promise of Excellence.

Requirements

At least two years of previous medical billing, third-party, or agency experience, including Medicare/Medicaid.
Moderate interpersonal skills to assist patients and insurance companies by phone and in person.
General office skills, including use of phones and keyboarding.
Computer skills, including data entry and 10-key.
Communication skills.
Ability to assess emergency situations and work well under pressure.
High school diploma or equivalent.
Ability to meet the physical demands of standing, walking, stooping, occasional carrying and lifting of lightweight materials up to 20 pounds, and sitting for extended periods.
Visual acuity and depth perception to recognize words and numbers; hand and finger dexterity and hand/eye coordination to use a computer keyboard and common office equipment.

Nice To Haves

Moderate analytical ability to review and research patient or insurance company complaints and concerns.
Patient follow-up experience.
Medical terminology knowledge.
Knowledge of reimbursement and billing formularies, including ICD-10, CPT 4, and DRG.
Previous experience in a medical office setting, such as hospital admissions, billing, or a medical office.
Familiarity with medical terminology.

Responsibilities

Bill and follow up on patient accounts.
Assist patients, guarantors, and third-party payors with patient account billing questions and concerns.
Submit timely and accurate bills to insurance companies and patients.
Maintain current knowledge of medical billing regulations, forms, and processes.
Assist patients with account inquiries and issue resolution.
Obtain accurate information from patients.
Answer and initiate phone calls.
Perform data entry and insurance billing.
Conduct account follow-up and public contact.
Adhere to the CMH Promise of Excellence.