Patient Financial Services Representative
Fairview Health Services
Overview Fairview Health Services has an opportunity for a Patient Financial Services Representative! We are seeking individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients. This includes all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management. This work from home opportunity is scheduled for Day Shift, 80 hours/2 weeks. Are you interested in benefits? We offer medical, dental, and vision coverage along with PTO and 403B! Join M Health Fairview, where we're driven to heal, discover, and educate for longer, healthier lives. Responsibilities Job Description This position is responsible for billing and collection of accounts receivable for inpatient and outpatient accounts, ensures expected payment is collected and accounts are fully resolved, and resolves complex customer service issues. This position understands the importance of evaluating and securing all appropriate financial resources for patients to ensure proper adjudication. Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate. Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization. Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback. Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible. Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients. Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts. Responsible for verification of insurance and/or patient demographics Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts. Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes. Qualifications Required 1 year in a medical billing office setting or relevant experience Preferred 2 years of medical billing office setting experience MS Office experience Insurance / follow up experience Coordination of benefits experience Epic, Brightree, Billing Bridge, or comparable software account experience Experience working with medical terminology Experience working with CPT-4 and ICD-10 EEO Statement EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information:https://www.fairview.org/benefits/noncontract Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.
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