Patient Financial Services Representative (flint Hills) - Patient Accounting - FT - Day

Patient Account Processor

Under direction, responsible for the processing of patient accounts after initial bill submission to final 4rd party payment resolution. This responsibility includes timely and accurate resolution of denied claims, insurance correspondence and follow-up on unpaid claims that exceed the clean claim payment cycle. These activities are completed following established policies and procedures in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organizations Code of Conduct.

High School Diploma / GED Required

Associate's Degree Preferred

1 year Experience in healthcare financial services, healthcare registration services or related healthcare experience. Required

Working knowledge of basic medical terminology preferred. (Required proficiency)

Detailed knowledge of major third-party billing and contract requirements. (Required proficiency)

Excellent customer service skills. (Required proficiency)

Detailed understanding of all technical primary and secondary billing rules to include, policies and procedures for assigned third party payers and contracts.

Reads and comprehends correspondence from government and third-party payors to keep abreast of new regulations, policies and billing and payment requirements.

Consistently and accurately documents accounts with activities as needed in a timely manner.

Researches and accurately resolves unpaid insurance account (primary and secondary).

Analyzes and resolves insurance correspondence for unpaid claims.

Thoroughly researches and resolves identified payment discrepancies in a timely manner including identifying and correct posting errors (i.e. money applied to wrong account or not posted correctly to account).

Demonstrates a good working knowledge of all applicable processes within the PFS Department.

Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner.

Exhibits a professional and pleasant demeanor when dealing with patients, employees, third-party payers and other customers of the organization.

Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested.

Identifies and recommends computer system enhancements, computer applications and procedural changes to improve (1) accuracy and timing of claim submissions; (2) accuracy of third party payer and patient payments; (3) customer relations, and (4) efficiency of operations.

Reads and comprehends correspondence from government and third-party payers to keep abreast of new regulations, policies and billing and payment requirements.

Answers questions from other staff or clinic offices by phone or e-mail in a timely manner.

Attends internal and external seminars for personal growth and development and shares pertinent information with other team members.

Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested.

Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health

Performs other duties as assigned

Position is Not Patient Facing

Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.

Stable access to electricity and a minimum of 25mb upload and internet speed.

Dedicate full attention to the job duties and communication with others during working hours.

Adhere to break and attendance schedules agreed upon with supervisor.

Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Hybrid

No Supervisory Responsibility

No Budget Responsibility

Grasping (Fine Motor): Rarely less than 1 hour

Grasping (Gross Hand): Rarely less than 1 hour

Handling: Rarely less than 1 hour

Hearing: Continuously greater than 5 hours

Repetitive Motions: Continuously greater than 5 hours

Sitting: Continuously greater than 5 hours

Standing: Occasionally 1-3 Hours

Stooping: Rarely less than 1 hour

Talking: Continuously greater than 5 hours

Dusts: Occasionally 1-3 Hours

Other Atmospheric Conditions: Rarely less than 1 hour

Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.