Patient Representative Jobs

About The Position

Requirements

• Two years in a medical billing office setting or relevant experience.
• Organizational skills.
• Communication skills.
• Attention to detail.

Nice To Haves

• Two years of medical billing office setting experience.
• MS Office experience.
• Coordination of benefits experience.
• Experience with Epic, Brightree, Billing Bridge, or comparable account software.
• Experience working with medical terminology.
• Experience working with CPT-4 and ICD-10.
• Extensive knowledge of Fairview account review experience.
• Extensive knowledge of Fairview system applications.
• Extensive knowledge of Fairview Revenue Cycle Management workflows.
• Billing certification.
• Substantial system super-user experience.
• Familiarity with Special Guarantor accounts.
• Experience with professional claims billing and follow-up.

Responsibilities

• Take timely and effective action to resolve financial transactions and prevent revenue shortfalls; escalate issues when appropriate.
• Complete assigned work accurately and on time in accordance with productivity and quality standards, following department best practices.
• Identify and provide feedback on continuous process improvements involving people and technology.
• Identify opportunities to fully resolve accounts through single-touch resolution where possible.
• Support collection of expected insurance or patient reimbursement and understand revenue cycle processes.
• Contact payers through portals or provider service centers to facilitate timely and accurate account resolution.
• Process external correspondence efficiently and promptly, and communicate and process internal correspondence clearly and professionally.
• Verify insurance and patient demographics.
• Understand expected payment amounts and Epic expected-payment calculations to adjust accounts appropriately.
• Educate patients or guarantors about patient liability when appropriate.
• Comply with applicable laws, regulations, payer requirements, and internal policies, procedures, and standards; maintain and share knowledge of them.
• Process accounts through multiple workflows and handle accounts requiring additional attention to detail.
• Make appropriate contacts with payers and other parties to obtain or provide information needed for timely account resolution.
• Use multiple systems and applications, and knowledge of internal and external departmental workflows, to collect expected payments and expedite resolution.
• Investigate and resolve complex accounts in depth.
• Use public-speaking skills in discussions and meeting facilitation.
• Take on complex responsibilities or projects that may require senior leadership visibility or approval.
• Mentor staff or support the team lead as a key team resource.
• Analyze and process correspondence in detail to improve collection processes.
• Provide support in other areas of the department using extensive departmental knowledge.

Benefits

• Medical plans
• Dental plans
• Vision plans
• Life insurance
• Short-term disability insurance
• Long-term disability insurance
• PTO
• Sick and Safe Time
• Tuition reimbursement
• Retirement
• Early access to earned wages