What are the responsibilities and job description for the Patient Financial Representative/Biller/Full-time/Days position at BOUNDARY COMMUNITY HOSPITAL?
Job Details
Job Location: Bonners Ferry, ID
Position Type: Full Time
Salary Range: Undisclosed
Description
Schedule - Monday-Friday; 7:30am-4pm
POSITION SUMMARY: The Financial Representative is responsible for the collection of all monies due for services rendered in accordance with established credit policies.
ESSENTIAL JOB DUTIES/REQUIREMENTS:
- Reviews and submits claims to third party payers from patient accounting system; reviews and corrects daily rejection/submission reports to confirm claims submission.
- Performs collection and follow-up activities on outstanding accounts receivable in accordance with policies and procedures; keeps AR balances within target.
- Analyzes information to determine primary insurance liability in cases requiring coordination of benefits.
- Review Remittance Advice payments and prepares claims to send to secondary or tertiary payers; calculated deductible and coinsurance and keys in crossovers into Medicaid system.
- Reviews Payment denials; determines ‘next step’ needed to rectify problem before resubmitting a corrected claim for payment. This frequently requires additional communication with patient, insurer, responsible party and insurance, etc.
- Researches, identifies and rectifies any special billing circumstances that may be affecting or delaying prompt payment on patient accounts.
- Identifies problem delinquencies and makes recommendations for their disposition (i.e. referral to in-house collections, write offs, etc.).
- Monitor monies owed to assure that the appropriate amount is indicated under the correct financial class (bucket).
- Types concise notes in Meditech and NextGen to aid others who may be reviewing an account.
- Keeps Revenue Cycle Director informed of any potential issues which may delay payment or are tied to specific payers.
- Prepares business Office bank deposit which is taken to the bank daily. Enters credit card payments (giving copies to RCS)
- Maintains mail postage machine and accounts, running all mail through the meter for the hospital.
- Addresses patients, visitors and co-workers in a pleasant and respectful manner.
- Receives and answers inquiries concerning patients or family questions regarding their accounts.
- Take payments for those presenting to the business office.
- Ability to react properly and follow correct policies and procedures in an emergency and/or disaster.
- Continues to stay informed of any statues and regulations that could affect collection of accounts receivable (i.e. insurance company changes, Medicare, Medicaid changes, collection regulations).
- Must wear Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by the Hospital.
Qualifications
POSITION QUALIFICATIONS: High School diploma or GED equivalency Working knowledge of medical terminology, billing, coding and accounting strongly preferred. Insurance, Medicare and Medicaid etc. billing experience strongly preferred.
