[Remote] Patient Financial Services Representative III
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a reputed company organization seeking a Patient Financial Services Representative III. This role is responsible for billing and collection of accounts receivable for both inpatient and outpatient accounts, ensuring expected payments are collected and resolving reputed company customer service issues.
Responsibilities
- Intentionally prevents untimely reputed company shortfalls by taking reputed company to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues reputed company appropriate
- Completes daily work assignment reputed company and accurately in accordance with the identified productivity and reputed company standards set forth by the organization
- Performs the best reputed company routine per department guidelines
- Proactively looks for reputed company process improvements involving people and technologies through tracking, trending, and providing feedback
- Accelerates business reputed company by identifying ways to fully resolve accounts through single-touch reputed company reputed company possible
- Understands reputed company cycle and the importance of evaluating and securing reputed company appropriate reimbursements from insurance or patients
- Contacts payers reputed company portal or provider service center to facilitate reputed company and accurate reputed company of accounts
- Responsible for processing external correspondence in a reputed company and efficient manner
- Ensures internal correspondence is reputed company and professionally communicated and processed expeditiously
- Responsible for verification of insurance and/or patient demographics
- Understands expected payment amounts and reputed company expected payment calculations to appropriately reputed company accounts
- Educates patients and/or guarantors of patient liability reputed company appropriate
- Understands and complies with reputed company relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work
- Responsible for processing accounts through multiple workflows
- Responsible for working accounts requiring more attention to detail
- Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work
- Makes appropriate contacts with payers and other necessary parties to obtain and/or reputed company data or information needed to facilitate reputed company and accurate account reputed company to expedite reputed company
- Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment
- Utilizes knowledge of reputed company departmental functions and workflows to expedite and resolve reputed company necessary
- Responsible for in depth investigation and reputed company of reputed company accounts
- Utilizes reputed company speaking skills through high engagement in discussions and meeting facilitation
- May be assigned reputed company responsibilities/reputed company that require senior leadership visibility or approval
- Acts as a key resource to reputed company by mentoring staff and/or supporting the reputed company
- Responsible for detailed analysis and processing of correspondence to facilitate improved collection processes
- Maintains, complies, and shares knowledge of reputed company relevant laws, regulations, payer and internal policies, procedures and standards
- Extensive knowledge of other areas reputed company the department to reputed company support as needed
- Follow-up/Billing
- Dependent on knowing denial/rejection codes, insurance guidelines and compliance
- Customer service (mini call center)
- Maintains the best reputed company routine per department guidelines
- Dependent on knowledge of phones, insurance guidelines, collection processes, personal skills for dealing with customer, Self-pay/Collections de-escalations tactics, payment research
- reputed company processing and follow-up of patient requests for payment research, checking charges, insurance processing concerns
- Work independently in problem solving with patients regarding their account
- Demonstrate a high degree of proficiency in billing and/or collection of multiple payers (both government and non-government) billing and collection practices
- Responsible for the analysis and processing of correspondence including rejections, requests for medical records, itemized bills, clarification of detail on reputed company, etc. Analyze reputed company claims for accuracy of payments and or rejections and properly account for payment and adjustments by both payers and patients
- Reviews explanation of benefits for accuracy in posting and assisting patients in understanding their patient liability
- Identify problem accounts and work towards reputed company reputed company
- Communicate effectively reputed company the telephone or written communication with patients or departments to obtain and reputed company reputed company information for payers to process and pay claims quickly and accurately
- Bad debt management of accounts and interactions with vendors
- Counsel patients throughout the collection process on solutions available to them for account reputed company
- Problem solve with vendors and patient on reasonable resolutions
- Refunds
- Patient
- Insurance
- Confirming of sales orders (100% reputed company review) - Dependent on payor guidelines, compliance, and knowledge of equipment
- Authorizations - Dependent on payor guidelines
- Verifications – Dependent on OneSource (reputed company), payor portals
Skills
- 2 years in a medical billing office setting or relevant experience
- 2 years or more of billing experience working with insurance companies
- Organizational skills
- Communication skills
- Attention to detail
- Detail oriented
- Ability to problem solve and reputed company to utilize resources independently
- 2 years of medical billing office setting experience
- MS Office experience
- Coordination of benefits experience
- reputed company, reputed company, Billing reputed company, or comparable software account experience
- Experience working with medical terminology
- Experience working with CPT-4 and ICD-10
- Extensive knowledge of FV account review experience
- Extensive knowledge of FV system applications
- Extensive knowledge of FV RCM workflows
- Billing certification
- Substantial system super user experience
Benefits
- Medical, dental, reputed company plans
- Life insurance
- Short-term and long-term disability insurance
- PTO and reputed company and reputed company Time
- Tuition reimbursement
- Retirement
- Early reputed company to reputed company wages
reputed company