Patient Financial Representative

Summary

The Patient Financial Representative supports management in the billing and collection of account receivable for self-pay accounts.

Department: Business Office

Reports To: Revenue Cycle Manager

• Reviews all self-pay bills for accuracy, verifies insurance coverage as necessary and completes billing process to Medicare, Medicaid, Commercial Insurance and/or patients. Corrects and moves accounts to appropriate biller.
• Works with patients on billing and payment questions.
• Verifies and sends out patient estimates in a timely manner.
• Changes insurance plans to allow statement accuracy.
• Maintains files on all account activity, works on accounts to assure timely filing and payment.
• Understands the revenue cycle and the importance of evaluating all appropriate financial resources for the patients.
• Works closely with the outsourced billing department, collection vendor, and MN Revenue Recapture to ensure patient accounts are accurate.
• Supports the policies and procedures of the organization and the standards of the Joint Commission as required for full accreditation.

3 to 5 years in an office clerical setting, which 1 year should be in a hospital or clinic business office setting.

Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Accounting and ability to add and subtract two‑digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.

Knowledge of Microsoft Office products, Epic, and the ability and willingness to learn new software products, as needed.

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Welia Health is an equal-opportunity employer.