Patient Financial Services Representative

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Fairview Health Services

Posted 3 months ago

Full Time

St. Paul, Minnesota

In Person

Smart Summary

Responsibilities

Manage the resolution of inpatient and outpatient accounts receivable through billing and collections. Collaborate with payers and patients to ensure accurate adjudication of claims and timely reimbursement.

Qualifications

You have at least one year of experience in a medical billing office setting and are proficient with MS Office. You also possess experience with insurance follow-up and coordination of benefits, along with familiarity with billing software like Epic, Brightree, or Billing Bridge.

Must Have Skills for ATS

Medical billing

MS Office

Insurance follow-up

Coordination of benefits

Epic

Brightree

Billing Bridge

Job Description

Job Overview

Fairview is looking for a Patient Financial Services Representative to join our revenue cycle team. This is a full-time, benefit-eligible position focused on billing, collections, and resolution of inpatient and outpatient accounts receivable. In this role, you will work collaboratively to ensure accurate account resolution, support positive patient financial experiences, and help secure appropriate financial resources to promote timely and accurate adjudication of claims. The ideal candidate will have strong problem-solving skills, attention to detail, and a commitment to providing excellent customer service in a fast-paced healthcare environment. 

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


Required QualificationsPreferred 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 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

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Fairview Health Services

Fairview Health Services is Minnesota’s choice for healthcare. We’re an industry-leading, award-winning, nonprofit offering a full network of healthcare services. Our broad network is designed to be ready for our patients’ every need, while delivering quality care with compassion. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services. We’re built on a tradition of compassionate care. This is our home, and our patients are our neighbors. We’re here to heal, we’re here for you. We are part of M Health Fairview, an expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine. Together, we’re expanding access to world-class, patient-centered care through our 10 hospitals, 60 primary care clinics, specialty clinics, pharmacies, home care, hospice, and medical transportation service. Fairview also operates the Ebenezer senior living communities and offers Employer Solutions such as EAP and pharmacy benefit management. Search for jobs and apply at https://www.fairview.org/careers.
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