What are the responsibilities and job description for the Patient Financial Representative position at JobRialto?
Job Summary :
The Patient Financial Representative ensures the efficient resolution and reconciliation of outstanding balances for facility patient accounts.
This role is responsible for performing key Revenue Cycle functions to meet facility performance metrics and departmental quality standards.
The representative will handle patient and payer account inquiries, follow up on insurance and self-pay accounts, and ensure compliance with billing and coding regulations.
Additionally, this role involves identifying payment discrepancies and communicating issues to enhance productivity, reimbursement, and the patient experience.
Key Responsibilities :
- Resolve outstanding account balances and reconcile facility patient accounts efficiently.
- Collect and document patient and payer information to facilitate account resolution.
- Respond to inquiries regarding accounts via written, verbal, or electronic communication.
- Maintain updated knowledge of insurance, self-pay billing guidelines, and third-party payer regulations.
- Apply working knowledge of CPT, HCPCS, and ICD-10 coding for accurate account handling.
- Provide regular updates to PFS Leadership on productivity and reimbursement issues or trends.
- Manage patient accounts, ensuring proper documentation in patient accounting systems.
- Address account denials and underpayments, following up within payer guidelines.
- Identify and resolve credit balances and communicate trends impacting account resolution.
Required Qualifications :
Preferred Qualifications :