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

<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: 
5 Days - 8 Hours
Work Type: 
Full Time</div>

Banner Health

<div>Primary City/State:
Tucson, Arizona
Department Name:
Banner Staffing Services-AZ
Work Shift:
Day
Job Category:
Revenue Cycle
Good health care is key to a good life. At Banner Health, we understand that, and that&rsquo;s why we work hard every day to make a difference in people&rsquo;s lives. We&rsquo;ve united under a common goal: Make health care easier, so life can be better. It&rsquo;s a lofty goal, but it&rsquo;s one we&rsquo;re committed to seeing through. Do you like the idea of making a positive change in people&rsquo;s lives &ndash; and your own? If so, this could be the perfect opportunity for you. Apply now.
Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.
As a valued and respected Banner Health team member, you will enjoy:<ul><li>
Competitive wages</li><li>
Paid orientation</li><li>
Flexible Schedules (select positions)</li><li>
Fewer Shifts Cancelled</li><li>
Weekly pay</li><li>
403(b) Pre-tax retirement</li><li>
Employee Assistance Program</li><li>
Employee wellness program</li><li>
Discount Entertainment tickets</li><li>
Restaurant/Shopping discounts</li><li>
Auto Purchase</li><li>
Plan</li></ul>
Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered.
As a patient financial services representative, you will be responsible for verifying insurance, explaining bills, collecting co-payments and outstanding balances, and assisting patients with financial assistance programs. You will act as a liaison between patients, insurance companies, and healthcare providers to resolve issues and ensure timely payments. This is a full-time position, scheduled Monday through Friday, 8:00am to 4:30p
POSITION SUMMARY 
This position conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate. 
 
CORE FUNCTIONS 
1. Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services. Verifies patient&rsquo;s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient&rsquo;s insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management. 
 
2. Verifies and understands insurance benefits, Collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management. 
 
3. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. Assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program). 
 
4. Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence. 
 
5. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Work to meet the patient&rsquo;s needs in financial services. 
 
6. Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve process and practices good teamwork. 
 
7. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team. 
 
8. Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient&rsquo;s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors. 
 
MINIMUM QUALIFICATIONS 
High school diploma/GED or equivalent working knowledge. 
 
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. 
 
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. 
 
PREFERRED QUALIFICATIONS 
Work experience with the Company&rsquo;s systems and processes is preferred. Previous cash collections experience is preferred. 
 
Additional related education and/or experience preferred.
EEO Statement:
EEO/Disabled/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy</div>

Front Office Patient Financial Service Representative Alzheimers Institute

Tucson Medical Center

<div><div>Customer Service: In a high call volume setting, performs self-pay collections which include complex review of billing and collections activities. Resolves and researches any potential coverage to ensure timely and accurate payment. Has a complete understanding of all options to resolve the balances. Processes payments, sets up payment arrangements, and offers financial assistance to patients who are experiencing financial difficulty. Evaluates accounts and determines payment dates based on patient&rsquo;s ability to pay and hospital policies. Must exhibit strong knowledge of fair debt collections. Explains charges, services, and hospital privacy regarding payment of bills. Provides technical assistance to set up MyChart access, and answers inquiries submitted through MyChart. Works assigned work queues in a timely manner.
ESSENTIAL FUNCTIONS:<ul><li>
Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows.</li><li>
Ensures UB04 and HCFA 1500 claims and/or self-pay patient accounts are billed in a timely, complete, and accurate manner in accordance with appropriate guidelines.</li><li>
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.</li><li>
Demonstrates understanding of the entire revenue cycle.</li><li>
Provides routine daily internal and external interface with unit/department management and staff, other service areas, information systems, physicians, physicians&rsquo; office staff, patients, software/hardware vendors, and third-party payers in order to resolve patient concerns, disputes, and billing audits in order to receive payment.</li><li>
Assists with problem solving, inquiries, and customer interaction to ensure positive results.</li><li>
Researches and analyzes any correspondence received related to assigned accounts.</li><li>
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.</li><li>
Analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable; analyzes and processes contractual write offs.</li><li>
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.</li><li>
Performs related duties as assigned.</li></ul><h5 class="jobSectionHeader"> 
MINIMUM QUALIFICATIONS</h5>
EDUCATION: High School diploma or General Education Degree (GED) required.
EXPERIENCE: One (1) year of related experience such as medical billing or third-party collection, or customer service in a hospital, payer, or physician setting. Technical experience in CMS/Medicaid regulations and/or commercial payer billing requirements. Minimum one (1) years&rsquo; experience in a windows environment, including Excel.
LICENSURE OR CERTIFICATION: None required.
KNOWLEDGE, SKILLS, AND ABILITIES:<ul><li> Knowledge of medical insurance practices and policies and regulations.</li><li> Knowledge of HMO, PPO, and Indemnity third party billing guidelines (Third-Party Billing and Collections only).</li><li> Knowledge of either UB04 hospital or CMS physician billing forms (Third-Party Billing and Collections only).</li><li> Knowledge of government and non-government uniform billing guidelines (Third Party Billing only).</li><li> Knowledge of medical terminology and coding Related to hospital billing and/or professional billing such as revenue, CPT diagnosis codes, modifiers, occurrence codes, value codes, and the appropriate usage of these codes.</li><li> Skill in evaluating bills/claims for payers or patients in order to collect payment in a timely manner.</li><li> Skill in providing assistance or training to other staff members in a team environment.</li><li> Skill in the use of computer applications and systems including: Excel, Word, Internet, email, and miscellaneous programs and networked computer systems.</li><li> Ability to read and comprehend instructions, short correspondence, and memos.</li><li> Ability to write correspondence; ability to effectively present information in one-on-one and small groups situations to customers, clients, and other employees of the organization.</li><li> Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations.</li><li> Ability to effectively present information and respond to inquiries or complaints from payers, patients and/or their representatives.</li><li> Ability to demonstrate familiarity of the components of a medical chart in order to supply appropriate chart documentation to various payers as required (Third Party Billing and Collections only).</li><li> Ability to identify any trends related to their assigned payer in order to escalate to management or provider representative (Third-Party Billing and Collection only).</li><li> Ability to read and interpret payer explanations of benefit documents (Third-Party Billing and Collections only).</li><li> Strong analytical and critical thinking abilities in order to make sound decisions.</li><li> Ability to demonstrate compliance with all state and federal regulations for managed care and third party payers (Third-Party Billing and Collections only).</li></ul></div></div>

PFS Representative I

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