Patient Financial Services Rep 1

About the role

The Patient Financial Rep 1 is responsible for researching, resolving, documenting, and responding to inquiries related to hospital and professional accounts from patients, insurance companies, attorneys, public agencies, internal departments, employers, and third-party payers. This includes conference calls that have escalated between insurance companies and patients, looking for resolution of claims. Must maintain accurate and confidential records in compliance with HIPAA and organizational policies.

Responsibilities

• Collaborate with internal departments (insurance teams, charging, collectors, financial assistance, patient care, patient access, and coding) to resolve account discrepancies.
• Researches, resolves, documents, and responds to patient account inquires generated from telephone, walk-in, virtual visits, MyCarle or written correspondence from external customers for Carle Health.
• Identifies and resolves insurance coverage errors, registration errors and billing errors to facilitate accurate and timely billing and payment processing.
• Identifies and reports account corrections needed for guarantor number changes (GNC's), double registrations, and other account build issues in the practice management system.
• Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Process one-time payments and set up payment plans in accordance with hospital guidelines.
• Provides financial counseling, conducts charity screening through Experian, and assists patients in the process of applying for Carle Financial Assistance program.
• Responsible for cash drawer balancing and daily deposit.
• Maintain confidentiality and comply with HIPAA regulations. This includes reporting potential HIPAA breaches and Identity Theft.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Provides customer service for patients and insurance companies on conference calls. Identify problem accounts and escalate as appropriate.
• Responsible for meeting and exceeding departmental productivity quality assurance standards, and service excellence.
• Provide excellent customer service.
• Performs other duties as assigned.

Qualifications

Qualifications: , Education: , Work Experience:

Benefits

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Pay

The compensation range for this position is $17.26 per hour - $27.96 per hour.

Schedule

N/A