Patient Financial Services Representative

Job Overview

Fairview is looking to hire a Patient Financial Services Representative to join our team! This is a full-time, benefit-eligible position working 80 hours per two-week pay period. This role offers the opportunity to work independently while collaborating with a supportive team to ensure accurate and timely resolution of patient financial accounts.

The Patient Financial Services Representative is responsible for managing patient accounts, reviewing and resolving billing discrepancies, following up on outstanding claims, and working with insurance companies to ensure appropriate reimbursement. This position requires strong attention to detail, problem-solving skills, and the ability to manage multiple priorities in a fast-paced environment.

The ideal candidate will have previous experience in healthcare billing, insurance follow-up, claims processing, or patient financial services. Experience with Epic or other electronic health record and billing systems is preferred. We are looking for someone who is organized, dependable, self-motivated, and comfortable working both independently and collaboratively to provide excellent service to patients and internal partners.

This position is responsible for billing and collection of accounts receivable for inpatient and outpatient accounts, ensures expected payment is collected and accounts are fully resolved, and resolves complex customer service issues. This position understands the importance of evaluating and securing all appropriate financial resources for patients to ensure proper adjudication.

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

Preferred Qualifications

• 1 year Medical billing office setting experience
• MS Office experience
• Insurance/follow up experience
• Coordination of benefits experience
• Epic, Brightree, Billing Bridge, or comparable software account experience

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 for additional 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