MG Patient Financial Service Rep

SUMMARY:

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 Hawthorn Medical Facility. 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.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

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, access to the billing segments of Versyss and Versyss passwords
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 Hawthorn Medical Associates 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.

MINIMUM QUALIFICATIONS:

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 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 Hawthorn Medical Associates patients.
Working Conditions:
While performing the duties of this job the employee is frequently required to walk; stand; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; and talk or hear. May be exposed to various patient conditions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Supervisory Responsibility:
None

Pay Range:

$18.66-$30.77

EEO Statement:

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location:

535 Faunce Comer Road - 535 Faunce Corner Road North Dartmouth, Massachusetts 02747

Work Type:

8:30-5:00

Work Shift:

Day

Daily Hours: 

8 hours

Driving Required:

Yes