Patient Financial Services Representatives (50860)
About The Position
Patient Financial Services Representative is responsible for providing various support within Patient Accounts. This position involves collecting and managing accounts, following up with insurance companies, filing corrected claims, submitting adjustments and customer service support. Each Patient Financial Services Representative has key metrics for performance standards and goals. Acts as an intermediary between the organization, patients, and the insurance agency. CORE FUNCTIONS A Patient Financial Services Representative reviews and research unpaid claims in accordance with contracts and policies in order to achieve maximum reimbursement. Identify unpaid claims through reports and dashboards and correct claims or forms as needed. Review submitted claims for complete information. Addressing denial and rejections in a timely manner and submitting any requested information Following up and assisting patients as needed. Strong customer service skills. Works closely with other departments and maintains good interdepartmental relationships. Ensures all documentation meets current standards. Reviews and processes correspondence from patients and insurance carriers in a timely manner. Processes patient and insurance refunds. Composes and types routine correspondence to patients and insurance. Maintains up to date knowledge of all federal and state regulations as pertains to their position. Follows all HIPAA, OSHA, and ACHC guidelines and regulations. Attends the monthly department meetings. Completes annual educational requirements and participates in continuous quality improvement activities. Time management skills. Performs other duties as assigned.
Requirements
- Requires High school diploma/GED.
- Basic understanding of Microsoft office; Outlook, Word, PowerPoint, and Excel.
- Excellent verbal and written communication skills.
- Strong interpersonal skills.
- Ability to work independently and within a group.
- Ability to perform follow up activities in a prompt and accurate manner.
- Strong skills with standard office equipment; fax, computer, phone, etc.
- Ability to accept correction within the spirit is it given.
- Excellent computer and data entry skills.
Nice To Haves
- 2-5 years previous experience in a similar medical billing/insurance preferred
Responsibilities
- Reviews and research unpaid claims in accordance with contracts and policies in order to achieve maximum reimbursement.
- Identify unpaid claims through reports and dashboards and correct claims or forms as needed.
- Review submitted claims for complete information.
- Addressing denial and rejections in a timely manner and submitting any requested information
- Following up and assisting patients as needed.
- Works closely with other departments and maintains good interdepartmental relationships.
- Ensures all documentation meets current standards.
- Reviews and processes correspondence from patients and insurance carriers in a timely manner.
- Processes patient and insurance refunds.
- Composes and types routine correspondence to patients and insurance.
- Maintains up to date knowledge of all federal and state regulations as pertains to their position.
- Follows all HIPAA, OSHA, and ACHC guidelines and regulations.
- Attends the monthly department meetings.
- Completes annual educational requirements and participates in continuous quality improvement activities.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
