What are the responsibilities and job description for the Patient Financial Representative position at SOUTHWESTERN AND AFFILIATES?
Job Details
Job Location: Spear - Healthcare - Evansville, IN
Position Type: Full Time
Education Level: High School
Salary Range: Undisclosed
Travel Percentage: None
Job Shift: First Shift - Days
Job Category: Admin - Clerical
Southwestern Healthcare is currently seeking a full-time Patient Financial Services Representative/Insurance Billing and Collections Specialist to add to our team. This position works at our Evansville downtown office during regular business hours of Monday – Friday 8AM – 5PM.
WHY WORK FOR SOUTHWESTERN?
- AFFORDABLE Health, Dental, Vision, and Voluntary Life Insurance that starts DAY ONE OF EMPLOYMENT!
- 401K Employer Contribution & Match
- Student Loan Assistance Program
- Physical & Financial Wellness Programs
- Generous Paid Time Off Plan
- Competitive Total Compensation Program
- On-site training available for qualified candidates
- We are GROWING!!
WHAT IS THIS POSITION RESPONSIBLE FOR?
- Review aging reports specific to credit balances to identify overpaid accounts across multiple payers. Responsible for identifying and processing refunds for both patient and insurance companies. Call the payer to discuss erroneous refund requests or notify the payer of intent to appeal refund request to suspend the recoupment process.
- Billing and account activities that will maximize reimbursement and promote prompt payment. Resolves routine patient billing inquiries and problems. Follows up on balances past due from insurance companies and patients. Reads and interprets transactional data within patient accounts.
- Comprehends Electronic Data Interchange (EDI) functionality and the general progression of data in the practice management system (PMS) and EDI systems. Understands and resolves payer edits and/or rejections.
- Demonstrates knowledge of medical terminology, CPT, ICD-10, CCI edits, and HIPAA regulations.
- Performs extensive account follow up activities utilizing the PMS. Investigates, analyzes and resolves problematic and delinquent accounts. Utilizes ancillary applications and websites as a tool to retrieve medical documentation, claim status, eligibility, billing guidelines, or authorization/referrals to substantiate correct claim submissions, written appeals, or coding reviews.
- Performs electronic eligibility confirmation when applicable and documents results.
Qualifications
WHAT'S REQUIRED FOR THIS POSITION?
- Applicants must have a High School Diploma or GED.
- Two years of experience in a medical billing or patient account setting preferred but not required.
- Excellent communication, time management, and organizational skills a plus.
- Candidates must pass required background checks including county/state checks, CPS check, sex offender registry check, and drug screen.
If you are interested in joining a fun, friendly, innovative team, apply today!
EOE/AA including Veterans and Disabled
If you are a person with a disability needing assistance with the application process, please call (812) 435-2057.
