Patient Financial Services Representative

Job Description

Job Description

SUMMARY

Under supervision, to admit and register patients, coordinate financial aspects of the patient’s hospitalization, cashiering, financial counseling, billing and collection of accounts; and to do other related work required.

Duties/Responsibilities:

• Greets and accommodates patients in professionally courteous manner, and expedites communication to other hospital departments.
• Performs on line computer registration and initiates creations of files with patient information entered into and discharged from computer in timely manner.
• Responsible for asking for deposits, taking payments, explaining financial requirements to patient or responsible party and recording and reconciling financial transactions accurately.
• Identifies and contacts primary and secondary insurance payers to obtain verification/authorization for service to patient at time of registration.
• Prepares pre-admissions and admitting forms, prepares admitting and discharge and discharge reports.
• Review hospital admissions to ensure accurate financial and biographical data and documentation have been obtained and properly entered into the hospital records
• Obtains patient signatures on required documents; distributes copies of patient documents in a timely manner.
• Maintains, demonstrates and is assessed on the knowledge and skills necessary to provide for the physical, psychosocial and cultural needs appropriate to the age of the patients served on his/her assigned unit.
• Interprets and explains to patients and their family’s charges, services, and hospital policy regarding payment of bills.
• Performs various clerical duties to expedite the billing process, including recording patient identification data, physician diagnosis, etc.
• Answers all inquiries regarding patient accounts.
• Researches all information to complete billing process.
• Assumes responsibility for all accounts within one or more pay classes.
• Follows up accounts until zero balance or turned over for collection.
• Processes and distributes copies of billings as required.
• Maintains required records, reports and files.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Other duties as assigned

Education and Experience:

• Minimum of 6 months year of billing or follow up experience in a healthcare setting, or related medical environment required.
• Completion of high school or equivalent.= preferred

Required Skills/Abilities:

Knowledge of:

• Principles of computer control systems and modern office methods
• Basic concepts of admitting, billing and collection language and procedures.
• Fundamentals of key-disk data entry systems
• PPO/HMO and commercial insurance benefits and billing requirements.
• Principles of computer control systems and modern office methods
• Basic concepts of billing and collection language and procedures.
• Fair credit and collection practices.
• Fundamentals of key-disk data entry systems.
• AS 400 terminal use and operation.

Ability to:

• Effectively communicate both orally and in writing to individuals and groups
• Establish rapport with and maintain cooperative, productive working relationships with staff, volunteers, groups, and the community
• Establish and maintain necessary records and controls prepare reports, charts and correspondence
• Operate AS400 system, CRT, PC, Fax, photocopier and PBX
• Obtain and record accurate information

Physical Requirements:

1. Body Positions: Sitting and standing for prolonged periods.
2. Body Movements: Arm and hand dexterity.
3. Body Senses: Must have command of close and distant sight, color perception and hearing.
4. Strength: Ability to lift and move up to 25-pounds.