OverviewFairview 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 functions 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 Friday 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 (http://fairview.org/benefits) ? We offer medical, dental, and vision coverage along with PTO and 403BResponsibilities Job Description
Handle 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 aligned with MHealth Fairview'svalues
Timely processing of patient/insurancerequests 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 assistingpatients in understanding their payment liability.
Identifying problem accounts and working 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 & counsel patients throughout the collection process for account resolution.
Problem solves with vendors and patients on reasonable resolutions.
QualificationsRequired
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.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform crucial job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.EEO StatementEEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
