Patient Financial Services Representative Job Description

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.