Patient Financial Service Rep

Financial Service Representative

General Summary/Overview: Responsible for providing quality and efficient financial service to patients through the daily management of assigned tasks. Oversees financial status of patients scheduled to be seen at the Brown University Physician Group. Maintains insurance information for maximum billing reimbursement. Assist patients with billing questions; one on one in a private area maintaining patient confidentiality. Performs in accordance with the facility’s policies and procedures. Follows the facility’s standards for ethical business conduct. Conducts self as a positive role model and team member. Participates in facility committees meetings in-services and activities.

Key Responsibilities:

• Review schedule of upcoming patients 3 days prior to scheduled visit.
• Flagging patients that will potentially need to be directed to business representative area.
• Contact patients on past due balances when scheduled to be seen at specific site.
• Counsel patients and families regarding financial issues with insurance and verify eligibility.
• Be available for patients that experience billing problems provide appropriate coaching counseling direction and resolution.
• Assist with any questions patients may have and call insurance representative at billing office regarding any issues that deem necessary.
• Call patients for collection purposes as a segment of the aged trial balance report.
• Maintain insurance information in system ensuring prompt reimbursement for claims.
• Work closely with billing office for transfers re-bills of services and relay findings.
• Have access to internet for insurance verification.
• Keep Supervisor promptly and fully informed of all problems or unusual matters of significance and take prompt corrective action where necessary or suggest alternative courses of action that may be taken.
• Project a favorable image of Brown University Health to promote its aims and objectives and enhance public recognition and acceptance of all its areas of endeavor.
• Perform all duties and responsibilities in a timely and effective manner in accordance with established company policies to achieve the overall objectives of this position.
• Perform other duties and responsibilities as required or requested with prior approval from Director of Patient Business Services.

Required Qualifications: Associates degree or equivalent and approximately 3–5 years previous third-party liability billing experience. Experience in a customer focused organization. Working knowledge of healthcare industry.

Skills and Abilities Required: Knowledge of insurance rules/regulation and policies Professional Working Revenue Cycle experience in either an AR follow up Cash-Ops denial management or self-pay role Ability to bring tasks to completion in a manner satisfactory Ability to communicate with others effectively in a concise manner in order to bring issues effectively to a resolution Ability to identify billing trends affecting patient balances Ability to evaluate situations and escalate issues appropriately Ability to multitask and ability to follow through with our patients and contacts Ability to read understand and interpret insurance Explanation of Benefits Experience with Excel Word and Outlook MediTech required Organizational time management skills Knowledge of 3rd party liability billing and collections;strong interpersonal and communication skills self-motivated/directed organizational skills; ability to exercise independent judgment based upon established policies protocol or practices; ability to provide and support a vision and direction to Brown University Health patients.