Senior Patient Financial Service Rep Cardiovascular Greeley Institute
2 weeks ago
POSITION SUMMARY
This position provides leadership for an admitting/registration team. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies.
CORE FUNCTIONS
1. Serve as an example to peers for both behaviors and performance of job functions. Provide leadership and training to Patient Financial Services Representatives, and act as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift and assigns job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift and communicates issues to supervisor for follow up. Trains new hires and/or internal transfers thoroughly and provide on-going guidance to ensure their success.
2. Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.
3. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.
4. Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.
5. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.
6. Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.
7. Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.
8. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
9. Works independently under general supervision, leads and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors.
MINIMUM QUALIFICATIONS
High school diploma/GED or equivalent working knowledge.
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over two or more years of work experience. Requires knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. May have related experience with financial institution or background.
Additional related education and/or experience preferred.
Anticipated Closing Window (actual close date may be sooner):
2024-09-03EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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