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Patient Financial Representative

1 month ago

Grants, New Mexico, United States Cibola General Hospital Full time
Job Summary

We are seeking a highly skilled Patient Financial Representative to join our team at Cibola General Hospital. As a key member of our revenue cycle team, you will be responsible for providing exceptional billing and collections services to our patients.

Key Responsibilities
  • Maintain and audit accounts receivables/credits over 45 days old monthly, documenting notes for productivity.
  • Work on 30 accounts per day or an average of 150 per week.
  • Communicate effectively with billing staff for improvements in billing primary and secondary claims.
  • Review insurance EOBs for potential processing errors.
  • Respond to denials and requests/correspondence within a two-day timeframe.
  • Ensure accurate designation of balances between insurance and patients.
  • Assist patients with inquiries over the phone or in person.
  • Respond to audits and regulatory inquiries.
  • Research credit balances for assigned insurances.
  • Educate other staff on assigned payers.
  • Serve as the representative for specific payers for the organization.
  • Answer patient questions regarding statements or billing inquiries.
  • Effective communications with other departments for timely corrections
Requirements
  • High school degree or GED.
  • One to three years data entry and billing and claims experience in a healthcare setting or billing externship.
  • Experience in a multispecialty clinic setting.
Preferred Qualifications
  • Billing Certificate, the result of graduation from a certified billing school.
  • Coder and/or Billing Certificate may be substituted with demonstrated proficient knowledge of healthcare billing processes.
Knowledge, Skills, and Abilities
  • General knowledge of computerized practice management systems, preferably Cerner Electronic Health Record System.
  • Ability to learn billing and collection system within rural health facilities and critical access hospitals.
  • Ability to communicate with tact and diplomacy with diverse groups of people including staff, providers, and insurance companies on behalf of the organization.
  • Ability to display sensitivity to the patient population being served
  • Ability to work on a variety of assignments concurrently within established deadlines
  • Ability to work with others in a problem solving and team environment and to work alongside staff as needed
  • Knowledge of HIPAA as it relates to medical & behavioral health billing
  • Position requires a high level of accuracy and attention to detail
  • Ability to communicate effectively, both orally and in writing
  • Ability to respond effectively to sensitive inquiries or complaints
  • Ability to work independently with minimal supervision
  • Proficient with computers and MS Windows software programs
  • Knowledge of Federally Qualified Health Care billing and reimbursement preferred
  • Knowledge of Medicare and Medicaid guidelines
  • General knowledge of UB04, HCFA1500 Electronic and Paper claim forms
Additional Qualifications
  1. Bilingual a plus (English / Spanish) preferred
  2. Healthcare experience highly preferred