Patient Financial Services Representative**

Fairview Health Services Minneapolis , MN 55415

Posted 2 weeks ago

Overview

Overview:

This position is responsible for supporting management in billing and collecting patient accounts associated with inpatient and outpatient facility services, as well as professional services.

Responsibilities/Job Description

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 Experience:

  • Three or more years of experience in an office clerical setting (Prefer at least 1 year in a hospital or clinic billing office).

Other Qualifications:

  • Billing experience

  • Basic computer use - Typing, printing, Email, Instant Messenger, 10-Key

  • Experience with collection and claims

  • Confidentiality

  • Critical thinking/decision making

  • Knowledge of health insurance

  • Ability to prioritize

  • Problem solving ability

  • Ability to work in a team setting

  • Understand and respect cultural diversity

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Patient Financial Services Representative**

Fairview Health Services