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Patient Financial Services Representative - Medicare Billing/Follow Up

Remote: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
Minnesota (USA), United States

Offer summary

Qualifications:

3-5 years of business office experience, Experience in a hospital or clinic environment, Knowledge of insurance claims process, Basic computer skills, Microsoft Office proficiency, Attention to detail and medical terminology.

Key responsabilities:

  • Understand revenue cycle and billing processes
  • Perform timely follow-ups for maximum reimbursement
  • Handle complex accounts, including denials and appeals
  • Address inquiries from patients and insurance companies
  • Communicate effectively with clinical staff and stakeholders
Fairview Health Services logo
Fairview Health Services XLarge https://www.fairview.org/
10001 Employees
About Fairview Health Services
Fairview Health Services is Minnesota’s choice for healthcare. We’re an industry-leading, award-winning, nonprofit offering a full network of healthcare services. Our broad network is designed to be ready for our patients’ every need, while delivering quality care with compassion. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services. We’re built on a tradition of compassionate care. This is our home, and our patients are our neighbors. We’re here to heal, we’re here for you. We are part of M Health Fairview, an expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine. Together, we’re expanding access to world-class, patient-centered care through our 10 hospitals, 60 primary care clinics, specialty clinics, pharmacies, home care, hospice, and medical transportation service. Fairview also operates the Ebenezer senior living communities and offers Employer Solutions such as EAP and pharmacy benefit management. Search for jobs and apply at https://www.fairview.org/careers.
See more Fairview Health Services offers

Job description

Overview

Fairview Health Services has an opportunity for a Patient Financial Services Representative! This position supports management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving customer service issues. We seek individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to improve reimbursement to the health system. This includes all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management.

This work from home opportunity is scheduled for Day Shift, 80 hours/2 weeks. Are you interested in benefits ? We offer medical, dental, and vision coverage along with PTO and 403B!

Join M Health Fairview, where we're driven to heal, discover, and educate for longer, healthier lives.

Responsibilities Job Description

  • Understand revenue cycle responsibilities, insurance benefits, insurance verification and billing patient’s insurance timely following all payor policies/guidelines
  • Perform timely follow up to ensure maximum reimbursement for services
  • Work complex accounts, including insurance denials and appeal when necessary.
  • Accept incoming inquiries from patients and insurance companies regarding benefits and billing questions
  • Ability to work with and communicate with clinical staff, patients, insurance companies and any others involved in the treatment plan


Qualifications

REQUIRED:

  • Three to five years of business office experience (one more more in a hospital or clinic business office setting)


Additional Qualifications

  • Experience working Medicare claim follow-up and denials
  • Basic computer skills including knowledge of Microsoft Office
  • Insurance knowledge, Insurance claims process or business office knowledge
  • Knowledge of facility billing including reading payor remittances and accessing payor websites
  • Attention to detail
  • Medical terminology
  • Ability to multi-task


EEO Statement

EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

BillingInsurance Follow-UpOffice ManagementClaims ProcessingMedical TerminologyRevenue Cycle Management

Other Skills

  • Microsoft Office
  • Multitasking
  • Basic Internet Skills
  • Detail Oriented
  • Verbal Communication Skills
Are you interested?

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