Patient Financial Services CS Rep

Overview

Fairview Health Services has an opportunity for a Patient Financial Services Representative! The CSC Representative will counsel patients on financial solutions available to them either through direct payments, payment plans, or screening for qualification for assistance programs. Working with both hospital and physician accounts in all systems and understand in depth the Registration, Hospital Billing, and Clinic Billing functions to resolve accounts. They will also be proficient in collection practices, understanding of the Attorney General Requirements , and able to liaison with bad debt vendors when needed. They will have detailed knowledge of the f unctions within the Revenue Cycle and how they interact in the life of an account.

This work from home opportunity is scheduled for Day Shift, 80 hours/2 weeks. Monday thru Thursday 9am-5:30pm, Fridays 8:00 am to 4:30 pm.

This position requires 4 weeks of onsite training at our Corporate Campus in Saint Paul, Minnesota.

Join M Health Fairview, where we're driven to heal, discover, and educate for longer, healthier lives. Are you interested in benefits ? We offer medical, dental, and vision coverage along with PTO and 403B

Responsibilities Job Description

• H andle calls presented to CSC through the automated call distribution system accurately and efficiently.
• Able to handle each call with perseverance, service, dignity and integrity in mind as a ligned with MHealth Fairview's values
• Timely processing of patient/ i nsurance requests for follow-up of payment research, checking charges, coding review, insurance processing concerns , etc.. .
• Identifies when callers need to be referred to insurance specialist or staff for further assistance .
• Understands and adheres to Revenue Cycle’s Escalation Policy .
• Responsible for analyzing and requesting correspondence including rejections, requests for medical records , itemized bills, clarification of detail on bill, etc. Analyze paid claims for accuracy of payments and or rejections and properly account for payment and adjustments by both payers and patients.
• Reviews explanation of benefits for accuracy in posting and assisting patients in understanding their payment liability.
• Identify ing problem accounts and work ing towards resolution.
• Verifies insurance benefits to increase reimbursement.
• Assists customers regarding billing questions and ensures appropriate resolution of problems. Explain and interpret eligibility rules and regulations or identify other resources available for financial assistance . Identify patients who may be eligible for financial exceptions . Keep updated on changes with regulatory issues.
• Validate patient data is accurate and authorization is in place to provide information.
• Uninsured accounts reviewed and handled to include validation that uninsured discounts have been appropriately applied, and all payment sources available to the patient have been explored.
• Identify patients with financial need & c ounsel patients throughout the collection process for account resolution.
• Problem solves with vendors and patients on reasonable resolutions.
  
  
  

Qualifications

Required

• Two or more years of customer service experience
  
  
  

Preferred

• Associates Degree
• Two or more years in healthcare customer service.
• Three or more years’ experience in a hospital or clinic business office
• Previous call center experience
  
  
  

Additional Requirements (must be obtained or completed within a period of time ) :

This individual should have a strong interest in learning new systems (EPIC, various remote insurance verification websites, right fax, Rycan , etc. ) as well as the ability to work independently.

EEO Statement

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