Patient Financial Services Representative Job Description Template
Our company is looking for a Patient Financial Services Representative to join our team.
Responsibilities:
- Review self-pay accounts to determine if all collection efforts have been exhausted;
- Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity);
- Research new payor information and follow new payor request process;
- Request missing patient information from facility or by contacting patient or legal representative;
- Resolve payor specific validations in billing software prior to claim submission;
- Follow federal and state billing guidelines;
- Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information;
- Some travel required;
- Upload documents into software applicable to patient chart;
- Process return mail by researching and validating new demographic information and restarting patient statement cycle;
- Educates patient regarding financial assistance programs when appropriate;
- Take incoming calls from patients to assist with resolving their Commercial Insurance questions as well as self-pay balances;
- Clear documentation of all work activity in the Ms4 account to ensure continuity throughout the entire revenue cycle;
- Work on special projects as needed;
- Identifies process improvement opportunities and participates in improvement plans.
Requirements:
- Must agree to receive an annual flu shot;
- Ability to adapt in a fast-paced work environment and ability to change tasks based on priority or direction from management;
- Type 45 wpm, 10-key by touch;
- Ability to interact professionally on all levels;
- Able to analyze problems and provide feedback to management on strategy for efficient solutions;
- Initiative required to learn company organization and procedures;
- Candidate must be able to provide documentation to support ability to work in the United States within the federal legal guidelines;
- Ability to analyze and make informed decisions;
- Understanding of non-contracted and contracted payer behaviors;
- Experience in billing 1500 and UB04 claim forms;
- Ability to operate office equipment;
- Prefer one year in medical billing field but not required;
- Math Basic Skills: Knowledge and skills related to applying mathematical tools and methods for routine calculations;
- Data Entry: Skilled in entering data and calculating items for processing; input of data into computer systems;
- Records Management: Knowledge of appropriate data collection policy and procedures, filing systems, data management systems, and programs.