Patient Financial Service Representative - Full Time - Days - AHSIC

Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:

• Run AR reports independently.

• Review, analyze and compare information on reports.

• Prioritize work based on age and balance of accounts to avoid timely filing denials. 

• Review correspondence and EOBS and take appropriate action.

• Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.

• Submit appeals and corrected claims as necessary.

• Prepare and submit payor projects.

• Answer calls and inquiries from patients to keep them informed of any issues with their claims.

• Request necessary information from patients and physicians to expedite claim processing.

• Negotiate prompt pay discounts.

• Request adjustments, transfers and reversals with the proper justification.

• Identify accounts that need to be sent to collections in a timely manner.

• Communicate payor trends in a timely manner.

• Work collaboratively with other departments to create a smooth patient experience.

• Working knowledge of DME medical policies. 

• All other duties as deemed necessary.

High school diploma or equivalent

Some college preferred

• Must be proficient in MS Office Suite
• Must be organized and have the ability to work independently, identify and solve problems.
• Excellent verbal and written communication skills
• 1 year billing/collections experience in the medical field preferred
• Ability to read, interpret and apply medical policies. 
• Review payer projects utilizing Excel and reporting tools.