Patient Financial Representative – Patient Accounting
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Job Description
Patient Financial Representative managing healthcare billing, claims, refunds, payments, and financial assistance. Supporting patients, payers, and hospital accounting operations for Memorial Health System.
Responsibilities:
- Perform patient accounting duties at a professional and primarily independent level
- Carry out responsibilities in billing, collections, credits and customer service
- Follow ethical billing practices and patient accounting policies and procedures
- Provide exceptional customer service using AIDET
- Complete special projects and assigned reports
- Maintain awareness of insurance company updates and federal and state guidelines
- Review, edit and submit claims
- Follow up on denied claims and resubmit claims until resolved
- Answer billing inquiries from patients, guarantors, families, attorneys and third-party payers
- Conduct detailed patient discussions and provide information to billers, Patient Financial Advocates and other departments
- Calculate patient balances and establish payment plans or other payment arrangements
- Contact patients regarding outstanding balances, financial assistance and payment arrangements
- Prepare and submit insurance and self-pay refund requests
- Follow up with Medicare, Medicaid, Blue Cross, workers’ compensation and commercial payers on refunds
- Assist walk-in customers and callers with billing, financial assistance and payment processing
- Manage daily cash drawer, reconciliations and deposits for multiple locations
- Work with case management to secure patient valuables
- Sort and distribute team mail
- Perform all other assigned duties
Requirements:
- High School Diploma, GED or equivalent required
- Minimum of 2 years of experience in a hospital, medical office or clinic setting in healthcare preferred
- Previous education or experience in medical billing, or graduation/certification from a medical office program preferred
- Must have or be able to acquire and retain good knowledge of commercial, federal and state payer requirements
- Good telephone voice and skill in handling business transactions, including irate patients
- Ability to work with computerized systems
- Basic clerical and interpersonal skills
- Typing speed of 40 wpm
- Ability to read, understand and follow oral and written instructions
- Computer skills including Microsoft Word and Excel
- Excellent organizational, time management and customer service skills
- Must comply with the employer’s federal drug-free workplace policy prohibiting marijuana use
Benefits:
- Affordable, comprehensive benefit package for all full-time and flex-time employees
- Bonus eligibility for qualifying full-time or flex-time employees
- Tuition assistance may be available through the employer’s student nurse program (up to $24,000 advertised)
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