Experience Inc. Jobs

Overview

Fairview Health Services has an opportunity for a Patient Financial Services Representative! This position supports management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving customer service issues. We seek individuals who understand the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to improve reimbursement to the health system. This includes all revenue cycle processes: insurance verification, acquiring prior authorizations, billing, claim follow up, and denial management.

This work from home opportunity is scheduled for Day Shift, 80 hours/2 weeks. Are you interested in benefits (http://fairview.org/benefits) ? We offer medical, dental, and vision coverage along with PTO and 403B!

Join M Health Fairview, where we're driven to heal, discover, and educate for longer, healthier lives.

Responsibilities Job Description

• Basic understanding of Revenue Cycle, and the importance of evaluating all appropriate financial resources to assist in securing patient accounts to maximize reimbursement for the healthcare system.

• Demonstrate billing and collection proficiency of, at least, one specific insurance payer.

• Responsible for evaluating and processing correspondences including claim rejections, medical record(s) requests, itemized bills, invoice clarifications, etc.

• Analyze insurance claims for accuracy of payments and rejections, as well as properly account for all payments and adjustments.

• Monitor accounts for timely follow-up and prompt resolution.

• Assist in continuous improvement of accounts receivable while minimizing controllable loss categories, e.g., timely filing.

• Assist customers with billing questions and ensure appropriate resolution.

• Explain and interpret insurance eligibility rules, guidelines and regulations.

• Stay informed of updates to regulatory changes.

• Attend periodic meetings regarding various insurance payers to discuss denials, claims processing and other discrepancies, and assist in developing action plans to correct evaluated issues.

Qualifications

Required

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

Preferred

• At least one year experience billing and follow-up of Medicare claims

• 2 years in a hospital or clinic business office

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/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.