Patient Financial Services Representative II

Job Overview

Fairview is hiring a Patient Financial Services Representative II to join our team! This is a full-time (1.0 FTE), benefit-eligible position. Scheduled hours are am 8.5 hour shift starting between 6:00 am - 8:30 am, Monday through Friday, based on business needs.

The ideal candidate will have previous experience with patient registration verification, ambulance billing, and insurance verification, along with a strong understanding of medical billing processes and reimbursement. Success in this role requires excellent analytical and problem-solving skills, attention to detail, and the ability to manage a high-volume workload while providing exceptional customer service.

This role offers the opportunity to perform your work in a technology-enabled environment that supports flexibility while collaborating closely with teammates and internal partners to ensure timely and accurate account resolution.

This position is responsible for the billing and collection of inpatient and outpatient accounts, ensuring expected payments are collected and accounts are fully resolved while delivering excellent customer service. The role requires knowledge of patient registration, insurance coverage, billing practices, and researching patient demographics using both internal and external resources to ensure accurate account resolution and proper adjudication. Additionally, this position evaluates and secures all appropriate financial resources for patients to support timely and accurate reimbursement.

Responsibilities

• Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate.
• Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization.
• Performs the best practice routine per department guidelines.
• Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback.
• Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible.
• Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients.
• Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts.
• Responsible for processing external correspondence in a timely and efficient manner.
• Ensures internal correspondence is clearly and professionally communicated and processed expeditiously.
• Responsible for verification of insurance and/or patient demographics
• Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts.
• Educates patients and/or guarantors of patient liability when appropriate.
• Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work
• Understands and Adheres to Revenue Cycle's Escalation Policy
• Demonstrates proficiency through daily work
• Responsible for processing accounts through multiple workflows
• Responsible for working accounts requiring more attention to detail
• Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work.
• Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes.
• Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment.
• Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary.
• Timely processing and follow-up of patient requests for demographics and insurance

Required Qualifications

• 1 year in a medical billing office setting or relevant experience
• Organizational skills, Communication skills, Attention to detail

Preferred Qualifications

• 2 years of medical billing office setting experience (preferably ambulance)

• Ambulance billing, follow up, verification or coding

• Knowledge of Image Trend Billing Bridge software

• MS Office experience

• Insurance / follow up experience

• Coordination of benefits experience

• Epic, Brightree, Billing Bridge, or comparable software account experience

• Experience working with medical terminology

• Experience working with CPT-4 and ICD-10

• Knowledge of FV account review experience

• Knowledge of FV system applications

• Knowledge of FV RCM workflows

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status