Patient Financial Services Representative

Care New England Health System • Warwick, RI

2d

About The Position

The Patient Financial Services Representative addresses patient questions and concerns related to billing, resolves patient issues and complaints, assists patients in applying for medical coverage or programs, and collects patient liabilities. The role explains charges, services, insurance requirements, out-of-pocket expenses, and hospital payment policies to patients and their families. It also supports accurate billing, patient discount and charity care processes, payment scheduling, and timely resolution of inquiries and correspondence while protecting patient confidentiality.

Requirements

• High school diploma or GED.
• At least 1–3 years of previous customer service experience in a healthcare or business environment.
• Excellent interpersonal and organizational skills.
• Working knowledge of computer applications, including word processing, Microsoft Excel, and the Epic electronic health record (EHR).
• Excellent oral and written communication skills and the ability to communicate with internal and external customers.

Nice To Haves

• Knowledge of third-party payers.

Responsibilities

• Explain charges, services, insurance requirements, out-of-pocket expenses, and hospital payment policies to patients and their families.
• Obtain and update accurate billing information in the appropriate systems and forward it to the appropriate biller.
• Advise uninsured and underinsured patients about potentially available federal, state, or local insurance programs; counsel patients about charity care; and help with applications or refer patients for assistance.
• Apply Care New England policies and procedures for community benefit, pre-payment, prompt-pay, and other patient discounts.
• Develop payment schedules consistent with established policies and procedures.
• Communicate with internal and external staff, insurance companies, attorneys, and others to resolve patient inquiries.
• Process correspondence from patients and others promptly to support continuous collections.
• Report critical billing, charging, insurance, or customer-service trends to management and suggest process improvements.
• Assist coworkers in meeting weekly, monthly, and yearly department goals.
• Preserve and protect patient confidentiality rights.

What This Job Offers

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