Patient Financial Services Representative III

Patient Financial Services Representative IIIFairview is looking for a Patient Financial Services Representative III to join our team This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift. The DME/Follow-up/Billing department manages patient accounts by applying strong knowledge of insurance guidelines, denial codes, collection practices, and customer service. The team independently resolves billing concerns, processes correspondence and payment research, reviews explanations of benefits, and communicates clearly with patients, payers, and vendors to ensure timely and accurate claim resolution. Additional responsibilities include managing bad debt, completing refunds, verifying insurance, securing authorizations, and confirming sales orders in alignment with payer and compliance requirements.Responsibilities:Manages and resolves complex patient accounts by ensuring accurate financial transactions, appropriate reimbursements, and timely follow-up with payers, patients, and internal partners.Performs daily work with high accuracy and productivity, following departmental best practices while identifying and implementing process improvements.Serves as a subject matter expert with advanced knowledge of revenue cycle workflows, systems (including Brightree, expected payment calculations), payer policies, and regulatory requirements.Conducts detailed investigations of high-complexity accounts, processes internal and external correspondence, and ensures clear, professional communication.Utilizes multiple systems and payer portals to secure payment, verify insurance/demographics, apply correct adjustments, and educate patients/guarantors on financial responsibilities.Provides mentorship and support to team members, leading discussions, facilitating meetings, and contributing to high-visibility projects.Collaborates across departments to expedite account resolution and support business outcomes through accurate documentation, single-touch resolution, and continuous workflow optimization.Required Qualifications:2 years in a medical billing office setting or relevant experienceOrganizational skills, Communication skills, Attention to detailAbility to problem solve and able to utilize resources independentlyPreferred Qualifications:2 years of medical billing office setting experienceMS Office experienceCoordination of benefits experienceEpic, Brightree, Billing Bridge, or comparable software account experienceExperience working with medical terminologyExperience working with CPT-4 and ICD-10Extensive knowledge of FV account review experienceExtensive knowledge of FV system applicationsExtensive knowledge of FV RCM workflowsBilling certificationSubstantial system super user experienceBenefit 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 for additional information.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.