Patient Financial Services Representative

SUMMARY

Under supervision, to admit and register patients, coordinate financial aspects of the patient’s hospitalization, cashiering, financial counseling, billing and collection of accounts; and to do other related work required.

Duties/Responsibilities:

• Greets and accommodates patients in professionally courteous manner, and expedites communication to other hospital departments.
• Performs on line computer registration and initiates creations of files with patient information entered into and discharged from computer in timely manner.
• Responsible for asking for deposits, taking payments, explaining financial requirements to patient or responsible party and recording and reconciling financial transactions accurately.
• Identifies and contacts primary and secondary insurance payers to obtain verification/authorization for service to patient at time of registration.
• Prepares pre-admissions and admitting forms, prepares admitting and discharge and discharge reports.
• Review hospital admissions to ensure accurate financial and biographical data and documentation have been obtained and properly entered into the hospital records
• Obtains patient signatures on required documents; distributes copies of patient documents in a timely manner.
• Maintains, demonstrates and is assessed on the knowledge and skills necessary to provide for the physical, psychosocial and cultural needs appropriate to the age of the patients served on his/her assigned unit.
• Interprets and explains to patients and their family’s charges, services, and hospital policy regarding payment of bills.
• Performs various clerical duties to expedite the billing process, including recording patient identification data, physician diagnosis, etc.
• Answers all inquiries regarding patient accounts.
• Researches all information to complete billing process.
• Assumes responsibility for all accounts within one or more pay classes.
• Follows up accounts until zero balance or turned over for collection.
• Processes and distributes copies of billings as required.
• Maintains required records, reports and files.
• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
• Other duties as assigned

Education and Experience:

• Minimum of 6 months year of billing or follow up experience in a healthcare setting, or related medical environment required.

• Completion of high school or equivalent.= preferred

Required Skills/Abilities:

Knowledge of:

• Principles of computer control systems and modern office methods
• Basic concepts of admitting, billing and collection language and procedures.
• Fundamentals of key-disk data entry systems
• PPO/HMO and commercial insurance benefits and billing requirements.
• Principles of computer control systems and modern office methods
• Basic concepts of billing and collection language and procedures.
• Fair credit and collection practices.
• Fundamentals of key-disk data entry systems.
• AS 400 terminal use and operation.

Ability to:

• Effectively communicate both orally and in writing to individuals and groups
• Establish rapport with and maintain cooperative, productive working relationships with staff, volunteers, groups, and the community
• Establish and maintain necessary records and controls prepare reports, charts and correspondence
• Operate AS400 system, CRT, PC, Fax, photocopier and PBX
• Obtain and record accurate information

Physical Requirements:

• Body Positions: Sitting and standing for prolonged periods.
• Body Movements: Arm and hand dexterity.
• Body Senses: Must have command of close and distant sight, color perception and hearing.
• Strength: Ability to lift and move up to 25-pounds.