Transformations Care Network ยท 8 hours ago
Revenue Cycle Patient Financial Service Representative (PFS)
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Health CareMental Health
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Responsibilities
Educate patients on statement balances
Explains insurance terms and regulations to assist patients in understanding their balances
Obtains missing claim information to ensure prompt payment
Research patient balance due accounts thoroughly and perform outbound calls
Obtain and process patient payments through the use of various electronic tools
Resolve delinquent accounts in a timely manner by proactively working outstanding patient balances.
Contacts patients for payment arrangements
Negotiate payment plans per policy
Monitor adherence to payment plans
Processes adjustments when appropriate and in accordance with policies
Works to resolve complaints in a courteous, professional and confidential manner
Recommends accounts for bad debt, collection agency placement or charity write off per department policies
Manages relationship with third party collection agency
Collaborate with RCM teammates to research, appeal and resolve claim rejections or denials and appeal as necessary
Maintain knowledge of mental health billing, self pay collection policies and procedures
Consistently meet or exceed the department productivity and quality standards and performance requirements
Ensures patient statements are processed on a weekly basis
Develop and maintain positive working relationships with cross-functional teams, teammates and Payor representatives and other key stakeholders
Other duties and responsibilities as assigned
Attend team meetings, phone conferences, and training as needed; facilitate team meetings and phone conferences as needed
Qualification
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Required
Minimum 1 years of physician billing and collection experience
High school diploma
Self-starter; able to move own workflow along with minimal oversight
Accurate; detail oriented and able to meet tight turnaround times
Strong written, verbal, and interpersonal communication skills
Ability to exercise initiative, judgment and decision-making skills and take required actions
Intermediate computer skills and proficiency in MS word, excel outlook and database management and internet usage
Ability to resolve billing and payment issues by analyzing patient accounts
Preferred
2-4 years of physician billing and accounts receivable in healthcare
Certified Revenue Cycle Representative or other billing certification
Benefits
Medical
Dental
Vision
Low-cost virtual care
Dependent and domestic partner coverage
401K
And more
Company
Transformations Care Network
Transformations Care Network is a mental health care organization.
Funding
Current Stage
Growth StageRecent News
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