Patient Financial Services Representative

Patient Financial Services Representative

The Patient Financial Services Representative is responsible for managing patient inquiries related to billing, insurance, and services received from our medical provider clients. This includes attempting to resolve outstanding balances through payment negotiations while addressing broader patient concerns such as insurance disputes, service-related issues, or general inquiries. The representative will manage both inbound and outbound communications, ensuring timely and professional responses, and routing issues to the appropriate teams when necessary.

Key Responsibilities:

• Payment Resolution: Proactively contact patients to negotiate and resolve outstanding balances, offering payment options and terms within the clients guidelines. This includes setting up payment plans and processing payments securely.
• Patient Interaction: Handle all communications (phone, email) regarding billing inquiries, insurance claims, service disputes, and questions about procedures, ensuring each concern is documented and addressed or routed appropriately.
• Insurance Assistance: Assist patients in understanding their explanation of benefits.
• Service-Related Issues: Address concerns about the medical services received, ensuring these are routed to the appropriate clinical or billing teams for resolution.
• Documentation & Compliance: Accurately record all patient interactions, payment agreements, and issue resolutions in compliance with HIPAA and other applicable regulations.
• Customer Service Excellence: Provide empathetic, high-quality service to ensure patient satisfaction, even when dealing with complex or sensitive financial or service-related issues.

Qualifications:

• Strong communication and negotiation skills, with the ability to resolve both financial and service-related issues.
• Ability to manage multiple tasks and resolve patient concerns efficiently.
• Experience in healthcare collections, billing, or customer service is preferred.
• Knowledge of healthcare billing processes, insurance claims, and medical terminology is preferred.
• Familiarity with HIPAA and FDCPA regulations is preferred.

Benefits:

• 40 hour work week
• Hybrid available upon successful completion of on-site training program
• Monthly Bonus Opportunities Available
• Medical
• Dental
• Life Insurance
• PTO (first day of month following 60 days of employment)
• Holiday Pay (after 60 days)
• 401k after one year of employment
• Short/Long Term Disability

Work-From-Home Requirements:

• Reliable high-speed internet and secure, quiet workspace free of any and all distractions
• Employee-provided WFH equipment
  • Desktop & Dual Monitors - 4vCPU with minimum 1.6 GHz or faster processor. For higher video/screen share resolution and frame rate, a four-core processor or better is required
  • RAM: 8000 MB
  • Hard Drive: 6 GB or more
  • .NET Framework version 4.6.1 or later
  • Windows 10/11
  • Mouse
  • Headset
  • Webcam
• Comfortable using video conferencing tools throughout each scheduled shift
• Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment

FMS, Inc. is a twenty-five year plus, fastest growing, and most successful privately owned accounts receivable and consumer contact organization. FMS, Inc. is expanding and creating new career opportunities in our established Tulsa, OK and Meridian, ID offices.