Patient Financial Representative Jr

Description

This position is focused to ensure account resolution and reconciliation of outstanding balances for patient accounts. The position works in a cooperative team environment to provide value to internal and external customers. It focus in collections activities directly with private/government insurance companies.

Key Responsibilities

• Collects and provides patient and payor information to facilitate account resolution.
• Responds to all types of account inquires through written, verbal or electronic correspondence.
• Performs medical records requests when necessitated by payers.
• Gathers all information needed to ensure payment of the claim.
• Responsible for requesting and forwarding all required documentation to payers.
• Demonstrates knowledge of standard bill forms and filing requirements.
• Identify and resolve underpayments with the appropriate follow up activities within payor timely guidelines.
• Works payor rejected claims for resubmission
• Appropriately documents patient accounting host system or other systems utilized by the organization in accordance with policy and procedures.
• Provides continuous updates and information to the Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
• Collect balances due from payors ensuring proper reimbursement for all services

General Knowledge/Competencies

• Excellent customer support
• Professional and effective written and verbal English communication required.
• Good communication skills.
• Knowledge of how insurance works (desire not requirement)

Requirements

Education:

• Degree in Finance, Accounting or equivalency
• Advanced English

Experience

• Experience with collections, payment or reimbursement verification and/or refunds.

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