Patient Service Representative

Avita Health System•Crestline, OH

5d•Onsite

About The Position

The Patient Service Representative works in Avita Health System’s Patient Financial Services Department at the Crestline location. The role supports timely collection of receivables from patients able to pay and identifies insurance or assistance program coverage for which patients and families may qualify. This work includes exploring insurance and program benefits, providing financial education, meeting with patients, making outbound calls, completing financial clearance, and collecting patient responsibility. The representative also helps patients with limited resources identify and apply for assistance programs. As a primary source of information and a resource for resolving issues, the representative serves patients through the Customer Service line and is the main point of contact for patients post-service. The position is scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m., for 80 hours per pay period.

Requirements

At least two years of experience in medical billing and follow-up and/or patient collections.
Knowledge and understanding of managed care payer rules and patient collection laws.
Basic medical terminology skills to read and interpret clinical documentation, with a basic understanding of procedure and diagnosis coding conventions.
Excellent oral and written communication skills.
Excellent conflict management and negotiation skills.
Mature, compassionate, customer-focused attitude and professional demeanor when dealing with patients, families, external customers and vendors, coworkers, and internal customers.
Strong computer skills, including hospital billing software and Microsoft Office applications.
Excellent organization and time-management skills, including the ability to establish priorities effectively.
Knowledge of and adherence to applicable regulatory compliance requirements, including HIPAA, Medicare Secondary Payer Screening requirements, and billing and coding compliance rules.

Nice To Haves

AAHAM or HFMA certification, or active pursuit of certification.
Experience and knowledge working in an electronic medical record system; EPIC experience is preferred.
Associate’s degree in healthcare administration.

Responsibilities

Ensure maximum and timely collection of health system receivables from patients able to pay.
Identify insurance or assistance program coverage for which patients or families may qualify.
Explore insurance and program benefits and provide financial education.
Meet with patients and make outbound telephone contacts and discussions.
Complete financial clearance and collect patient responsibility.
Help patients with limited resources identify and apply for assistance programs.
Serve as a primary source of information and resolve issues through the Customer Service line.
Act as the main point of contact for patients post-service.
Conduct activities in accordance with regulatory compliance requirements, including HIPAA, Medicare Secondary Payer Screening requirements, and billing and coding compliance rules.