What are the responsibilities and job description for the Patient Financial Services Representative - Medicare position at Fairview Health Services?
Fairview Health Services has an opportunity for a Patient Financial Services Representative! This position supports management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving customer service issues. We seek individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to improve reimbursement to the health system. 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
- Basic understanding of Revenue Cycle, and the importance of evaluating all appropriate financial resources to assist in securing patient accounts to maximize reimbursement for the healthcare system.
- Demonstrate billing and collection proficiency of, at least, one specific insurance payer.
- Responsible for evaluating and processing correspondences including claim rejections, medical record(s) requests, itemized bills, invoice clarifications, etc.
- Analyze insurance claims for accuracy of payments and rejections, as well as properly account for all payments and adjustments.
- Monitor accounts for timely follow-up and prompt resolution.
- Assist in continuous improvement of accounts receivable while minimizing controllable loss categories, e.g., timely filing.
- Assist customers with billing questions and ensure appropriate resolution.
- Explain and interpret insurance eligibility rules, guidelines and regulations.
- Stay informed of updates to regulatory changes.
- Attend periodic meetings regarding various insurance payers to discuss denials, claims processing and other discrepancies, and assist in developing action plans to correct evaluated issues.
Qualifications
Required
- 3-5 years in an office clerical setting, of which 1 year should be in a hospital or clinic business office
Preferred
- At least one year experience billing and follow-up of Medicare claims
- 2 years in a hospital or clinic business office
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
