Patient Financial Services Representative II

Job OverviewFairview is looking to hire a Patient Financial Services Representative II to join our Revenue Recovery Team. This is a full-time, benefit-eligible position. The Patient Financial Services Representative II plays an important role in supporting revenue cycle operations by reviewing and resolving outstanding patient accounts, researching billing and payment issues, and working with insurance payers to ensure accurate and timely reimbursement.

The ideal candidate will have experience in healthcare billing, insurance follow-up, account resolution, and denial management, along with strong problem-solving, communication, and customer service skills. 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. ResponsibilitiesIntentionally 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 demographicsUnderstands 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 workUnderstands and Adheres to Revenue Cycle’s Escalation PolicyDemonstrates proficiency through daily workResponsible for processing accounts through multiple workflowsResponsible for working accounts requiring more attention to detailAdvanced knowledge of team procedures, standards, and policies, and applies this knowledge 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. Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment. Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary.

Required Qualifications1 year in a medical billing office setting or relevant experienceOrganizational skillsCommunication skillsAttention to detailPreferred Qualifications2 years of medical billing office setting experienceMS Office experienceInsurance / follow up experienceCoordination of benefits experienceEpic, Brightree, Billing Bridge, or comparable software account experienceExperience working with medical terminologyExperience working with CPT-4 and ICD-10Knowledge of FV account review experienceKnowledge of FV system applicationsKnowledge of FV RCM workflows Benefit OverviewFairview 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 DisclaimerAn 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 StatementEEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status