Patient Financial Representative/Biller/Full-time/Days

Schedule - Monday-Thursday; 6:30am-4pm; Friday - 8am-Noon

POSITION SUMMARY: The Financial Representative is responsible for the collection of all monies due for services rendered in accordance with established credit policies.

ESSENTIAL JOB DUTIES/REQUIREMENTS:

• Reviews and submits claims to third party payers from patient accounting system; reviews and corrects daily rejection/submission reports to confirm claims submission.
• Performs collection and follow-up activities on outstanding accounts receivable in accordance with policies and procedures; keeps AR balances within target.
• Analyzes information to determine primary insurance liability in cases requiring coordination of benefits.
• Review Remittance Advice payments and prepares claims to send to secondary or tertiary payers; calculated deductible and coinsurance and keys in crossovers into Medicaid system.
• Reviews Payment denials; determines ‘next step’ needed to rectify problem before resubmitting a corrected claim for payment. This frequently requires additional communication with patient, insurer, responsible party and insurance, etc.
• Researches, identifies and rectifies any special billing circumstances that may be affecting or delaying prompt payment on patient accounts.
• Identifies problem delinquencies and makes recommendations for their disposition (i.e. referral to in-house collections, write offs, etc.).
• Monitor monies owed to assure that the appropriate amount is indicated under the correct financial class (bucket).
• Types concise notes in Meditech and NextGen to aid others who may be reviewing an account.
• Prepares business Office bank deposit which is taken to the bank daily. Enters credit card payments (giving copies to RCS)
• Registers patients accurately for their hospital visit.
• Addresses patients, visitors and co-workers in a pleasant and respectful manner.
• Receives and answers inquiries concerning patients or family questions regarding their accounts.
• Take payments for those presenting to the business office.
• Ability to react properly and follow correct policies and procedures in an emergency and/or disaster.
• Continues to stay informed of any statues and regulations that could affect collection of accounts receivable (i.e. insurance company changes, Medicare, Medicaid changes, collection regulations).
• Must wear Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by the Hospital.

Qualifications

POSITION QUALIFICATIONS:  High School diploma or GED equivalency  Working knowledge of medical terminology, billing, coding and accounting strongly preferred.  Insurance, Medicare and Medicaid etc. billing experience strongly preferred.