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Frederick Health · 1 day ago

Patient Financial Services Representative - Full-time - (M-F, 8a - 4:30p)

Frederick, Maryland, United States

Full-time

Onsite

Entry Level

$17.80/hr - $25.60/hr

1+ years exp

Frederick Health is a healthcare organization dedicated to serving the community. They are seeking a Patient Financial Services Representative who will ensure accurate patient charges and payments, manage communications with payers, and maintain compliance with regulations while supporting the organization's mission and values.

Clinical TrialsHealth CareHospitalWellness

Responsibilities

Examines denied and underpaid claims to determine reasons for discrepancies

Communicates directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement

Provides payers with specific reasons for suspected underpayments and analyzes denial reasons given by payers

Works with management to identify, trend, and address root causes of denials; helps pinpoint strategies for reducing A/R

Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies

Updates and maintains accurate files on each payer, including contact names, addresses, phone numbers, and other pertinent information; thoroughly documents all interactions with payers

Effectively handles all communications, including telephone and email, from payers and departments within the business office

Utilizes payer scorecards, identifies high-risk accounts, and prioritizes follow-up efforts

Participates in continuous quality improvement efforts on an ongoing basis, establishing goals with supervisors and tracking progress

Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management

Understands and maintains compliance with HIPAA guidelines when handling patient information

Receives and processes all types of patient payments by properly documenting and entering transactions into the system; posts payment promptly

Prepares individual bank deposits accurately and in a timely manner; checks with the bank for any direct deposits

Prepares, posts, and processes payment batches; posts denials, contractual adjustments, and guarantor payments within payment batches; and ensures all payment batches are balanced

Reconciles cash receipts and patient accounts

Investigates the source of unidentified payments to ensure they are applied to appropriate accounts

Identifies and examines underpayments to determine if additional payment can be pursued; follows up with payers and patients accordingly

Identifies and examines unapplied credits and other overpayments to determine if a refund is necessary; issues refunds promptly as appropriate

Records appropriate, up-to-date notes in patient accounts, and provides insurance collectors accounts for follow-up

Makes copies of all necessary EOBs for insurance carriers

Analyzes EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances

Reconciles shortages on both paper and electronic EOBs to determine proper allowance and correct write-off

Transfers balances to self-pay or secondary insurance

Handles telephone questions and concerns from customers; ensures complaints and inquiries are recorded and reported to management

Utilizes the safe to deposit large bills and sums of money from the cash drawer; keeps minimum allowable amount in drawer at all times

Balances cash register/box daily or as instructed

Demonstrates exceptional guest relations by promptly answering phone calls and answering patient questions

Complies with all organizational policies regarding ethical business practices

Performs other duties as assigned

Qualification

40 wpm typing speedHospital billing experienceCommunication skillsOrganization skills

Required

Strong analytics, communication and organization skills

40 wpm typing speed

High School diploma or GED

Preferred

One year of experience working in a hospital or physician collections/centralized billing function

Benefits

Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week

Life insurance

Short-Term Income Replacement

Long-Term Disability

Paid Time Off program for eligible employees

403B retirement plan helps you save for your retirement and includes an employer match to eligible employees

Free financial planning sessions

Educational assistance program to support your education goals

Employer paid Employee Assistance Program