Patient Financial Services RepresentativeThe Patient Financial Services Representative performs a variety of routine and non-routine clerical/patient accounting functions in accordance with standard procedures in one or more of the following areas: patient accounting, accounts receivable, or hospital revenue cycle for the Cherry County Hospital and Clinic.Regular responsibilities include but are not limited to the following:Works daily electronic billing file and submits insurance claims to third-party payersThis position is responsible for posting monies received from all payor types (including Medicare, Medicaid, Managed Care, HMO, PPO, and patient)Accurate billing of patient accounts, ensuring timely claim submission and reimbursement from various third- party payers and patients, ensuring proper account documentation in the facility's billing system, and pursuing follow-up efforts on aged accountsReviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handlingDocuments billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to CFOReviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviewsBased on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission processEnsures payments and adjustments are accurately posted to patient accountsEnsures payments in correct computer log to assure accurate patient statementsResponds to written/oral requests for itemized bill from any customer including patient, insurance company, and attorneyResearches all patient and insurance refunds in accordance to best practice/benchmark for complianceCalls patients to collect on outstanding balances, collecting insurance information, or providing payment optionsResponds to patients inquiries regarding the status of insurance claims or balances dueVisits patients in the Emergency Department or the hospital to obtain information for billing or provider Medicaid applicationReview outstanding patient balances prior to patients receiving elective services to secure appropriate payment arrangements and/or compliance with previously established payment arrangementsEnsures timely resolution of credits by accurate and timely refunds to the appropriate entity(s) and patient(s), prepares daily deposit and control sheetsSorts the mail and is responsible for distribution to the appropriate area/personObtains pre-authorizations for services/procedures when required by the patient's payorPosts charges onto the patient account for supplies and services that were provided to the patient to ensure proper billing and reimbursementVarious other reporting and miscellaneous reports relating to Revenue Cycle functionality, Accounts Payable or Timekeeping could be requiredEnsures the confidentiality of patients' medical, personal, and financial records is maintainedKnowledgeable of and committed to practicing Corporate Compliance policies and proceduresComplies with Cherry County Hospital personnel policiesPerforms other duties as assigned by the supervisorSkills and abilities required include:Ability to type, operate business machines including computers, and complex telephone systemsVerbally interact with a variety of individualsRead fine print on documentsAccess files in order or execute the proper handling of accounts receivable credit and collectionExecute general office duties as necessary in a proper mannerAbility to interact with utmost courtesy and tactSupremely capable of projecting a demeanor of warmth and welcome to any and all individuals who presents themselves to the business officeAbility to maintain confidentiality of any and all hospital and patient affairsAbility to read, write, verify, utilize, understand, trace, tender, tabulate, systemize, submit, study, organize, sort, search, scan, process, post, participate, move, locate, investigate, formulate, examine, draft, correspond, decide, classify, and/or assemble business office materials, instruction and equipmentAbility to sit, stand, and walk variable distancesMust be knowledgeable of state and federal confidentiality laws, including but not limited to HIPAA, and be familiar with and follow all policies, procedures and instructions regarding the privacy and security of protected health information applicable to the positionPhysical demands and working conditions include:Works in a well-lighted and ventilated officeSubject to frequent interruptionsNormal office environment with little exposure to excessive noise, dust, temperature, and the likeCharacterized as work requiring exertion of negligible up to 50 pounds of force periodically by moving objectsRequires sitting, talking, repetitive motion, and listening to a significant degreeRequires significant manual dexterity to operate business office machines and equip and to meet job performance standards and criteriaRequires verbal ability to communicate via telephone and typical voice interactionRequires auditory ability sufficient to hear telephone with typical hearing impaired enhancements and to hear normal conversation typical or an office settingWe would also like to highlight our comprehensive benefit package, which includes:Health Insurance: Co-pay or HSA plan options with 100% coverage for the EmployeeDental Coverage: 100% coverage for the EmployeeVision Coverage: 100% coverage for the Employee$50,000 Group Life Insurance with AD&DLong-Term Disability Coverage: 100% coverage for the EmployeeMedical and Dependent Care Flexible Spending AccountsHealth Savings Account with employer contributionSupplemental Insurances: Short-Term Disability, Supplemental Life and AD&D, Critical Illness, Hospital Indemnity, and AccidentRetirement Plan: 457 plan with Pre-Tax and Roth optionsRequirementsMinimum job requirements include:High School diploma required1 to 3 years of customer service and/or business office experience, ideally in a medical setting preferredPrior experience and knowledge in the use of software packages such as Microsoft Excel, Word, and WindowsKnowledge of collection laws, 3rd party reimbursement, and basic hospital accounting