Memorial Health System - Ohio · 5 months ago
Patient Financial Representative - Self Pay Operations - FT 1.0 (80 hrs biweekly) (61356)
Reno, OH, USA
Full-time
Onsite
Entry Level
2+ years expMemorial Health System is a healthcare provider located in Ohio, seeking a Patient Financial Representative to manage patient accounting duties. The role involves responsibilities in billing, collections, customer service, and ensuring compliance with accounting policies while maintaining confidentiality.
Health Care
Responsibilities
Follows ethical billing practices
Exhibits exceptional customer service skills, utilizing AIDET
Maintains compliance with patient accounting policies and procedures
Completes special projects as assigned
Maintains a comprehensive awareness of all insurance company updates including Federal and State guidelines
Assumes all other duties and responsibilities as necessary
Reviews, edits and submits claims
Completes assigned daily, weekly, monthly reports
Performs timely denial follow up and resubmission of claims, including correct reimbursement review until the account is resolved by either receiving payment or rejection of claim
Answers inquiries from patients, guarantors, patient’s families, attorneys and third party payers about billing procedures and resolves problems
Conducts detailed discussions with patients and obtains information to provide to billers, Patient Financial Advocates, and all other appropriate departments to assist patients with multiple needs
Uses patient information and hospital guidelines to calculate and establish payment plans
If necessary, calculates patient’s remaining balances, using hospital guidelines to discuss and finalize the method of resolving patient’s balances through payment plans or other arrangements
When necessary, calls patients with outstanding balances to review account information, examine patient’s eligibility for financial assistance, secure payment arrangements or settle in full
Maintains knowledge of requirements and guidelines for hospital-sponsored charity care, as well as the availability of financial assistance from external sources
Prepares and submits all refund requests to the insurance companies as well as self pay refunds to patients
Follow up with third party payers (Medicare, Medicaid, Blue Cross, Worker’s Compensation, and Commercial Payers) until account is resolved by recoupment on an electronic remit or a check request from accounting
Answers inquiries from patients, guarantors, patient’s families, attorneys and third party payers about refund procedures and resolves any problems
Completes assigned daily, weekly and monthly reports
Conducts detailed discussions with patients and obtains information to provide to billers, Patient Financial Advocates, and all other appropriate departments to assist patients with multiple needs
Uses patient information and hospital guidelines to calculate and establish payment plans
If necessary, calculates patient’s remaining balances, using hospital guidelines to discuss and finalize the method of resolving patient’s balances through payment plans or other arrangements
Maintains knowledge of requirements and guidelines for hospital-sponsored charity care, as well as the availability of financial assistance from external sources
Assist walk in customers and callers with billing, financial assistance and processing payments
Reviews account processing as needed to assist the patient to understand the remaining patient responsibility
Manage daily cash drawer, reconciliation and deposits. Manages deposits for multiple locations
Works with case management to secure patient valuables
Sort and distribute team mail
All other duties as assigned
Qualification
Required
High School Diploma, GED or equivalent required
Must have or be able to acquire and retain good knowledge of commercial, federal and state payer requirements
Needs good telephone voice and skill in handling business transactions, including irate patients
Ability to work with computerized system, also basic clerical and interpersonal skills and typing at 40 wpm
Ability to read, understand and follow oral and written instructions
Computer skills, including but not limited to Microsoft Word and Excel
Excellent organizational, time management, and customer service skills
Preferred
Minimum of 2 years of experience in hospital, medical office or clinic setting in healthcare preferred
Previous education or experience in medical billing or graduate/certification from medical office program preferred
Benefits
Affordable, comprehensive benefit package
Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.
Company
Memorial Health System - Ohio
Memorial Health System, located in Marietta, Ohio, is comprised of a network of two hospitals, three emergency departments and outpatient service sites.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Scott Silvestri
CFO
David B. Watson
Chief Information Officer
Recent News
2025-09-12
Company data provided by crunchbase