Patient Financial Services Representative - Fairview Health Services

Fairview Health Services has an opportunity for a Patient Financial Services Representative! We are seeking individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients. This includes all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management.

This work from home opportunity is scheduled for Day Shift, 80 hours/2 weeks. Are you interested in benefits? We offer medical, dental, and vision coverage along with PTO and 403B!

Join M Health Fairview, where we're driven to heal, discover, and educate for longer, healthier lives.

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.

• 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.
• 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 verification of insurance and/or patient demographics
• Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts.
• Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding 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.

Required

• 1 year in a medical billing office setting or relevant experience

Preferred

• 2 years of 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
• Experience working with medical terminology
• Experience working with CPT-4 and ICD-10