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Patient Financial Services Representative

Job Description - Patient Financial Services Representative


BASIC PURPOSE:
The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources.

ESSENTIAL RESPONSIBILITIES:
  • Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system.
  • Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified.
  • Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer
  • Works on various revenue collection projects/duties as assigned
EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS:
  • High school diploma required, some college accounting courses or other field related continuing education
  •  Knowledge of electronic billing systems preferably Quadex is required.
  • At least 3 years’ experience in a Healthcare Accounts Receivable setting is essential
  • Excellent customer service, interpersonal and communication skills required
  • Knowledge of medical billing/collection practices
  • Knowledge of business office procedures
  • Knowledge of basic medical coding and third-party operating procedures and practices
  • Ability to establish and maintain effective working relationships with patients, employees and the public
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