patient financial representative

Lee Health

<div>Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Revenue Cycle Admin
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 PM
Minimum to Midpoint Pay Rate:$17.34 - $21.67 / hour<h2 class="jobSectionHeader">
Summary</h2>
As a first point of access for Lee Health customers this position completes and assists with registration, insurance verification, authorization, price estimation, denial prevention, claims processing, and financial screening to secure maximum reimbursement for the Health System. This position is also responsible for confirming patient identity and uses Epic and on-line resources to ensure Medicare medical necessity and billing requirements have been met. It also requires excellent verbal, analytical and customer service skills due to the varying methods of communication which occurs telephonically, in written form, electronically, in person, and bedside in a direct clinical care setting. Requires extensive governmental regulation adherence, computer knowledge and analytical experience to navigate and interpret information provided by a multitude of payers to ensure both claim and billing requirements have been completed, entered, and are accurate. This position also requires general payor contracting and chargemaster experience to ensure accurate price estimation to comply with governmental pricing transparency requirements. This job requires the ability to multi-task while using critical thinking skills to appropriately handle work complexity in a fast-paced work environment, while always providing an exceptional patient experience. This role requires collaboration with the Care Management and Utilization Management team to ensure on-going con-current authorization and patient discharge planning needs are met.<h2 class="jobSectionHeader">
Requirements</h2>
Education:High School diploma or equivalent required. Post high school training or associate degree preferred.
Experience:Minimum of 1 year of experience in customer relations role. Minimum of 2 years of revenue cycle experience, Epic experience preferred.
Certification:N/A
License:N/A
Other:Medical terminology knowledge required. Excellent computer skills. Ability to speak multiple languages is helpful. Knowledge and understanding of telephone etiquette including strong listening skills are essential. Excellent customer service skills are also required, including verbal and written communication.
US:FL:Cape Coral</div>

Patient Financial Representative

CHRISTUS Health

<div>Description 
Summary:
The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of CHRISTUS Health. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for CHRISTUS Health patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
 
The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of CHRISTUS Health, and fully supports CHRISTUS Health's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
</li><li>Performs Revenue Cycle functions in a manner that meets or exceeds CHRISTUS Health's key performance metrics.
</li><li>Ensures PFS departmental quality and productivity standards are met.
</li><li>Collects and provides patient and payor information to facilitate account resolution.
</li><li>Responds to all types of account inquiries through written, verbal, or electronic correspondence.
</li><li>Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
</li><li>Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution.
</li><li>Meets or exceeds customer expectations and requirements, and gains customer trust and respect.
</li><li>Compliant with all CHRISTUS Health, payer, and government regulations.
</li><li>Exhibits a strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations and guidelines.
</li><li>Appropriately documents patient accounting host system or other systems utilized by PFS in accordance with policy and procedures.
</li><li>Provide continuous updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity, reimbursement, payment delays, and/or patient experience.
</li><li>Must have professional and effective written and verbal communication.
</li></ul><ul><li>Billing
</li><li>Review and work on claim edits.
</li><li>Works payor rejected claims for resubmission.
</li><li>Works reports and billing requests.
</li><li>Demonstrates strong knowledge of standard bill forms and filing requirements.
</li><li>Exhibits and understanding of electronic claims editing and submission capabilities.
</li></ul><ul><li>Collections
</li><li>Collect balances due from payors ensuring proper reimbursement for all services.
</li><li>Identifies and forwards proper account denial information to the designated departmental liaison. Dedicated efforts to ensure a proper denial resolution and timely turnaround.
</li><li>Maintain an active knowledge of all collection requirements by payors.
</li><li>Works collector queue daily utilizing appropriate collection system and reports.
</li><li>Demonstrates knowledge of standard bill forms and filing requirements.
</li><li>Identify and resolve underpayments with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and resolve credit balances with the appropriate follow-up activities within payor timely guidelines.
</li><li>Identify and communicate trends impacting account resolution.
</li></ul><ul><li>Cash Reconciliation
</li><li>Ensures all payments are retrieved and posted accurately and timely through reconciliation of patient accounting system and bank statement.
</li><li>Researches submitted cash payments by verifying patient account numbers and appropriate facilities.
</li><li>Monitor and performs cash reconciliation to identify cash posting errors and ensures all receipts are applied and reconciles to daily bank deposit and monthly bank statements.
</li><li>Review and post cash corrections, including resolving patient complaints and inquiries from PFS, Finance, Facilities, and Vendor Partners.
</li><li>Resolve and Research unapplied cash, including continuous follow-up until payment identification is made for application of payment or refund.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>HS Diploma or equivalent years of experience required.
</li><li>Post HS education preferred.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>Experience working within a multi-facility hospital business office environment preferred.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li><li>Experience working with inpatient and outpatient billing requirements of UB-04 and HCFA 1500 billing forms preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 

Work Schedule: 
8AM - 5PM Monday-Friday
Work Type: 
Full Time</div>

Patient Financial Representative Senior - Patient Financial Services

Bates County Memorial Hospital

<div>This opening is for a 40 per week day shift position.
The Patient Accounts Financial Representative is responsible for screening patients for payment resources and counseling patients on their personal financial responsibilities and making them aware of resources that may be available to assist them. They will give assistance in the application of those resources. The Patient Accounts Financial Representative will also be responsible for answering patient calls, walk-ins, and correspondence related to patient billing, while using proper customer service protocol. To resolve a patient billing issue, it may be necessary to make outbound calls to an Insurance company, Attorney, Doctor, Department Directors, etc. You will be required to ask patients to pay their bill or set up a payment plan. Your role is to improve cash flow and reduce bad debt receivables while providing good customer service. 


Experience and Education:
<ul><li>
Knowledge of the Microsoft office suite</li><li>
Knowledge of standard office equipment (copier, fax machine)</li><li>
Ability to type and use a 10 key</li></ul>

Minimum:
<ul><li>Experience in clerical or customer service
</li></ul>Knowledge/Skills/Required Abilities
<ul><li>
Personal technology device to download DUO application to enable access to hospital email by multi-factor authentication.</li><li>
Displays good organizational skills and utilizes time wisely.</li><li>
Maintains a neat and orderly work environment.
</li><li>Completes assigned tasks in a timely manner and seeks additional work upon completion of assignments.</li><li>
Displays attention to detail and accuracy of tasks</li><li>
Demonstrates good communication skills and empathy</li><li>
Willingly shares information and resources with co-workers.
</li><li>Takes the time to explain and exchange information with customers.</li><li>
Maintains composure under stress and continues to work effectively.</li><li>
Discusses personal, patient, and staff-related issues in a confidential manner and in the appropriate location and follows Hospital policy concerning Confidentiality.</li><li>
PC skills &ndash; demonstrates proficiency in Microsoft Office applications and others as required</li><li>
Treats customers in an ethical manner, respects the dignity and individuality of customers. Demonstrates commitment to customers by putting their well-being before personal, financial, or procedural concerns.</li><li>
Work independently.</li></ul></div>

Patient Accounts Financial Representative

Opelousas General Health System

<div>Position Summary
The Patient Financial Services Representative serves as a primary point of contact for patients and guarantors regarding billing, account inquiries, and payments. This role is responsible for managing incoming and outgoing calls, providing in-person customer service, facilitating patient payments, and supporting collection efforts in a professional and compassionate manner.
The PFS Representative also supports Business Office operations by receiving, sorting, and routing incoming mail for the health system. Strong customer service skills, calm conflict resolution abilities, and exceptional attention to detail are critical to success in this role.
Essential Duties and Responsibilities
Customer Service &amp; Patient Communication
Answer incoming guarantor and patient calls related to account balances, billing statements, insurance questions, and payment options.
Provide in-person customer service support to patients who visit the Business Office with account inquiries or to make payments.
Explain billing information clearly and professionally, using language appropriate to the patient&rsquo;s level of understanding.
Maintain a calm, respectful demeanor when resolving concerns or complaints, including difficult or sensitive financial discussions.
Route complex account issues or disputes to appropriate team members or leadership when needed.
Collections &amp; Payment Processing
Make outbound collection calls in accordance with organization policies and regulatory requirements.
Collect payments via approved payment methods and post transactions accurately.
Offer payment plans or financial assistance information as appropriate and within defined guidelines.
Document all payment activity, communications, and follow-up actions accurately in the billing system.
Mail Processing &amp; Office Support
Receive, open, sort, and distribute incoming mail for the health system in a timely and organized manner.
Ensure payments, correspondence, and documentation are routed to the correct department or staff member.
Maintain confidentiality and safeguard protected health information during mail handling.
Documentation &amp; Compliance
Accurately document all patient interactions, payment activity, and account updates in the EMR or billing system.
Follow HIPAA privacy standards and organizational policies at all times.
Ensure all work meets department standards for quality, accuracy, and timeliness.
Qualifications
Education &amp; Experience
High school diploma or equivalent required.
Prior experience in customer service, healthcare billing, patient access, or collections preferred.
Knowledge, Skills, &amp; Abilities
Strong customer service skills with a professional, empathetic demeanor.
Ability to manage difficult conversations and de-escalate conflict effectively.
Excellent attention to detail and accuracy when handling payments and patient information.
Clear verbal communication skills and basic written documentation skills.
Ability to work independently while contributing to a team-oriented environment.
Proficiency with computer systems; experience with billing systems and Microsoft Office preferred.
Supervisory Responsibilities
None.
Physical Demands &amp; Work Environment
Ability to sit, stand, and work at a computer for extended periods.
Frequent telephone use.
Work in a Business Office environment with routine interaction with patients, staff, and visitors.</div>

Patient Financial Services Representative

Parkland Health

<div>Location: 8435 Stemmons Bldg. 
 
PRIMARY PURPOSE
 
 
Performs registration duties to include patient registration, obtaining precertification, obtaining proper authorizations, insurance verification and preliminary financial counseling services to ensure Parkland's financial viability at the most basic level. 
 
MINIMUM SPECIFICATIONS
 
 
Education 
<ul><li>
High School diploma/GED</li><li>
Associate's degree preferred</li></ul> 

Experience 
<ul><li>
Minimum of 2 years' experience within a hospital or clinical environment, an insurance company, managed care organization, other financial service setting, registration, financial counseling, financial clearance and/or customer service in a health care environment</li><li>
General knowledge of patient access financial counseling functions in both acute and non-acute settings is a plus</li><li>
Working knowledge of medical terminology and insurance terminology</li><li>
Ability to work multiple computer systems such as patient, registration/accounting system, document imaging, scanning, proprietary payer websites and data quality monitoring, both accurately and efficiently</li><li>
Prior experience in patient access, billing, cash collections, insurance, appointment scheduling preferred. - Knowledge and function and relationships within a hospital environment</li></ul> 

Equivalent Education and/or Experience 
<ul><li>
May have an equivalent combination of education and experience to substitute for both the education and the experience requirements</li></ul> 

Certification/Registration/Licensure 
<ul><li>
Certified Healthcare Access Associate (CHAA) preferred</li><li>
Certified Patient Account Technician (CPAT) preferred</li><li>
Certified Revenue Cycle Representative (CRCR) preferred</li></ul> 

Skills or Special Abilities 
<ul><li>
Must be proficient in the use of personal computers, printers, scanners, etc</li><li>
Must be able to demonstrate working knowledge of computer software, i.e., Word and Excel Knowledge, Hospital Information/Enterprise Systems, i.e., EPIC</li><li>
Customer service skills and experience</li><li>
Ability to work in a fast paced environment</li><li>
Must be able to function in a high-level stressful environment while simultaneously multi-tasking</li><li>
Ability to receive and express detailed information through oral and written communications</li><li>
Professional approach and appearance</li><li>
Detailed oriented with basic mathematical and analytical skills</li><li>
Must be able to resolve registration issues as they relate to multiple groups including third party payors, system, patients and physicians</li><li>
Knowledge of contract reimbursement, third party payors and insurance verification preferred</li><li>
Ability to problem solve within the guidelines of established policies and procedures</li><li>
Medical and insurance terminology</li><li>
Bilingual skills preferred</li></ul> 

Responsibilities 
<ul><li>
Greets patients, family members, peers, and leadership in a professional, friendly, and respectful manner to promote a positive public image of Parkland. Willingness to move about the system to ensure all facets of the job responsibilities are completed accurately and timely to support the needs of the organization. Required to assist the hospital in the event of an internal or external disaster.</li><li>
Obtain, verify, and update accurate demographic, financial, and insurance information in the process of registration. Including the entry of patient/guarantor information in the patient registration/accounting systems. Ensure accounts are billed accurately and timely. Guarantee that medical record numbers are not duplicated or overlays created.</li><li>
Reviews patient accounts for financial status to identify non-funded and/or under-funded patients. Refers appropriate cases to financial counseling for follow-up and consultation and Case Management for clinical justification for pre-authorization as necessary.</li><li>
Educate patients about financial liabilities, employs proper, compliant patient liability collection techniques before, during and after date of service. Performs cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures.</li><li>
Clearly document actions taken in account notes to ensure information is available and understandable for other departments to review. Tracks productivity/quality and provides cumulative reports daily, weekly and monthly as required. Ensures Patient Rights &amp; Responsibilities as well as other required documents are properly explained and presented to patients.</li></ul> 

Job Accountabilities 
<ul><li>
Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.</li><li>
Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.</li><li>
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.</li></ul> 

Requisition ID: 986745</div>

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