Overview

This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving complex customer service issues. Understands the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the health system.

Responsibilities Job Description

This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving complex customer service issues. Understands the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the health system.

• Contact for PFS Representatives 1 regarding questions/account issue resolution. Mentors and trains staff in the PFS Representative 1 position. Maintains the best practice routine per department guidelines.

• Demonstrate proficiency in billing and/or collection of multiple payer’s billing and collection practices.

• Responsible for the analysis and processing of correspondence including rejections, requests for medical records, itemized bills, clarification of detail on bill, etc. Analyze paid claims for accuracy of payments and or rejections and properly account for payment and adjustments.

• Monitors accounts for timely follow-up and prompt resolution of denials or other complex account resolution.

• Assists in continuously improving the aging of receivables while minimizing controllable loss categories (i.e. Timely filing).

• Ensures that incoming call volumes are processed expeditiously.

• Ensures that incoming correspondence is processed expeditiously.

• Ensures that all written responses are clearly and professionally communicated.

• Notifies patient and/or guarantor of co-pays/deductible/coinsurance

• Verifies insurance benefits to maximize reimbursement.

Required

• 3-5 years in an office clerical setting, of which 1 year should be in a hospital or clinic business office

Preferred

• 2 years in a hospital or clinic business office

Qualifications

$21.41-$30.23 / Hourly

EEO Statement

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

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.