Patient Financial Representative/Biller/Full-time/Days bei BOUNDARY COMMUNITY HOSPITAL

Description

Schedule - Monday-Friday; 7:30am-4pm; will work 1 Saturday per month and have an alternative day off during the week prior or after.  

POSITION SUMMARY: The Financial Representative is responsible for the collection of all monies due for services rendered in accordance with established credit policies.  This position will also train to the Patient Registration position and provide support when needed.  

ESSENTIAL JOB DUTIES/REQUIREMENTS:

• Reviews and submits claims to third party payers from patient accounting system; reviews and corrects daily rejection/submission reports to confirm claims submission.
• Performs collection and follow-up activities on outstanding accounts receivable in accordance with policies and procedures; keeps AR balances within target.
• Analyzes information to determine primary insurance liability in cases requiring coordination of benefits.
• Review Remittance Advice payments and prepares claims to send to secondary or tertiary payers; calculated deductible and coinsurance and keys in crossovers into Medicaid system.
• Reviews Payment denials; determines ‘next step’ needed to rectify problem before resubmitting a corrected claim for payment.  This frequently requires additional communication with patient, insurer, responsible party and insurance, etc.
• Researches, identifies and rectifies any special billing circumstances that may be affecting or delaying prompt payment on patient accounts.
• Identifies problem delinquencies and makes recommendations for their disposition (i.e. referral to in-house collections, write offs, etc.).
• Monitor monies owed to assure that the appropriate amount is indicated under the correct financial class (bucket).
• Types concise notes in Meditech and NextGen to aid others who may be reviewing an account.
• Prepares business Office bank deposit which is taken to the bank daily.  Enters credit card payments (giving copies to RCS)
• Registers patients accurately for their hospital visit. 
• Addresses patients, visitors and co-workers in a pleasant and respectful manner.
• Receives and answers inquiries concerning patients or family questions regarding their accounts.
• Take payments for those presenting to the business office.
• Ability to react properly and follow correct policies and procedures in an emergency and/or disaster.
• Continues to stay informed of any statues and regulations that could affect collection of accounts receivable (i.e. insurance company changes, Medicare, Medicaid changes, collection regulations).
• Must wear Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by the Hospital.

Qualifications

POSITION QUALIFICATIONS:  High School diploma or GED equivalency  Working knowledge of medical terminology, billing, coding and accounting strongly preferred.  Insurance, Medicare and Medicaid etc. billing experience strongly preferred.