Patient Financial Services Representative

Fairview Health Services•St. Paul, MN

About The Position

Fairview is hiring a full-time, benefit-eligible Patient Financial Services Representative for 80 hours per two-week pay period. The role involves managing inpatient and outpatient patient accounts, billing and collecting accounts receivable, resolving billing discrepancies and complex customer service issues, following up on outstanding claims, and working with insurance companies to secure appropriate reimbursement. The representative ensures expected payments are collected and accounts are fully resolved, while evaluating and securing appropriate financial resources to support accurate adjudication. The position offers independent work alongside collaboration with a supportive team in a fast-paced environment.

Requirements

Previous experience in healthcare billing, insurance follow-up, claims processing, or patient financial services.
Strong attention to detail and problem-solving skills.
Ability to manage multiple priorities in a fast-paced environment.
Organized, dependable, and self-motivated.
Comfort working independently and collaboratively.

Nice To Haves

One year of experience in a medical billing office setting.
MS Office experience.
Insurance follow-up experience.
Coordination of benefits experience.
Experience with Epic, Brightree, Billing Bridge, or comparable account software.

Responsibilities

Resolve financial transactions appropriately and effectively to prevent untimely revenue shortfalls, ensure collection of expected payment, and escalate issues when appropriate.
Complete daily assignments accurately and on time in accordance with productivity and quality standards.
Perform routine work according to department best-practice guidelines.
Identify and provide feedback on continuous process improvements involving people and technologies by tracking and trending results.
Identify opportunities to fully resolve accounts through single-touch resolution when possible.
Apply knowledge of the revenue cycle to secure appropriate reimbursement from insurers or patients.
Contact payers through portals or provider service centers to facilitate timely and accurate account resolution.
Process external correspondence in a timely and efficient manner.
Communicate and process internal correspondence clearly, professionally, and promptly.
Verify insurance and/or patient demographic information.
Understand expected payment amounts and Epic expected payment calculations to adjust accounts appropriately.
Educate patients and/or guarantors about patient liability when appropriate.
Comply with relevant laws, regulations, payer and internal policies, procedures, and standards in daily work.