Fairview Health Services Patient Financial Services Representative - Range in Hibbing, Minnesota

Overview

LOCATED IN HIBBING!!

This position is responsible for supporting management in the billing and collection of accounts receivable for home medical equipment (DME) accounts and/or resolving complex customer service issues. Understands the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement on for services provided.

Responsibilities/Job Description

Verifies insurance benefits to maximize reimbursement.

  • Gathers data, summarizes and prepares reports for management and completes special projects as assigned.

  • Reconciles accounts receivable records with pending claim inventories for major payers.

  • May assist in completing other functions within Patient Financial Services as necessary.

  • Assists customers regarding billing questions and ensures appropriate resolution of problems. Explain and interpret eligibility rules and regulations or identify other resources available for financial assistance. Keep updated on changes with regulatory issues.

  • Ensures that incoming call volumes are processed expeditiously.

  • Ensures that incoming correspondence is processed expeditiously.

  • Ensures that all written responses are clearly and professionally communicated.

  • Notifies patient and/or guarantor of co-pays/deductible/coinsurance.

  • Works with multiple payer’s provider representative on issue resolution including claim resolution projects and process enhancements.

  • Screens claims on-line or on paper for accuracy and obtain additional information for processing claims manually or via computerized system (EDI).

  • Identify problem accounts and work towards timely resolution.

  • Communicate daily via the telephone or written communication with payers, patients, departments to obtain and provide all information for payers to process and pay claims quickly and accurately.

Qualifications

REQUIRED

  • Three or more years in an office clerical setting

  • One or more years in a hospital or clinic business office.

PREFERRED

  • Two or more years experience in a hospital or clinic business office

ADDITIONAL QUALIFICATIONS

  • Knowledge of accounting, healthcare and general office procedures.

  • Knowledge of at least one specific payer’s application, billing and/or collection process.

  • Knowledge of accounting principles that directly impact the accounts receivable, including debit and credit transactions; charge transfers; contractual allowances and adjustments; financial class changes.

  • Working knowledge of the reimbursement and regulatory environment so as to ensure compliance regarding patient and insurance billing issues.

  • Working knowledge of insurance regulations, managed care practices, regulatory agencies and alternative funding sources.

  • May require assistance in completing appropriate follow through for complex accounts.

  • Requires knowledge of standard PC word processing and spreadsheet applications.

  • Knowledge of medical terminology.

  • Requires excellent communication skills to clearly and concisely communicate verbally and in writing with peers, supervisors, payers, physicians, patients, other departments, etc

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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.

Requisition ID 2018-27299

Profession Non-Clinical Support Staff

Speciality Administrative/Clerical/Customer Service

Location Hidden (27508)

Shift day

Hours per 2 weeks 80

Department Durable Medical Equip Billing