Job ID: 208457377
Patient Financial Services Representative- This 1.0 FTE is a full-time, benefited position, typically 40 hours per week, days shift and is UFCW represented. At MGH&FC we pride ourselves in offering an excellent benefit package, including a generous retirement contribution. MGH&FC is a hidden gem of a healthcare system, wherein you can shine as a valued member of our dedicated team of caring professionals.
The Patient Financial Services Representative is responsible for verifying patient/demographic information, billing and account follow up in a timely manner. Responsible for self-pay balances including installment accounts, receives payments, processes collection accounts, mail returns, tax adjustments and Financial Assistance applications. Post cash payments and adjustments to all accounts in a timely manner and posts miscellaneous payments to appropriate General Ledger Account. Maintains working knowledge of all insurance contracts and verifies appropriate payments according to contracts. Process refunds to insurance and or patients as appropriate.Duties and Responsibilities* 1. Review and updates all patient and financial information accurately as given.*2. Contacts self-pay in-house patients for financial arrangements and contacts guarantor regarding past due accounts Works with collection agencies on accounts referred.* 3. Interviews in house patients regarding payment plans and appropriate applications for payment assistance.* 4. Works with complex insurance issues and payer payment resolution. Processes adjustment requests. Follows up with insurance companies on past due accounts.* 5. Discuss insurance/payment questions with walk-in and phone customers. Assists patients with completion of all applicable forms as needed.* 6. Explains hospital regulations with regard to methods of payment on accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts.* 7. Posts payments and adjustments according to information received. Posts miscellaneous payments to the appropriate GL as needed. Timely follow up on payments posted to other accounts pending research. Bills all hospital services to primary and secondary insurance in a timely manner.* 8. Works with management on reports that are needed for regulatory requirements.9. Additional related duties and projects as assigned*Essential Job FunctionOrganizational ResponsibilitiesIn addition to the duties and responsibilities listed above, all employees are expected to support the Mason General Hospital & Family of Clinics mission, vision and values; comply with District policies and procedures; and conduct themselves in an ethical, professional, respectful, and collaborative manner at all times.Required Education and Experience 1. High school diploma or equivalent.2. Two (2) years of customer service and clerical experience.3. Business office experience in a hospital or clinic preferred.Required Licenses, Certifications and/or Registrations1. Patient registration and/or health care experience preferred.