Patient Financial Services Representative

About the role

This position is responsible for billing and/or follow-up of patient accounts. Provides outstanding customer service to patients, guarantors and third-party payors by assisting with questions and concerns relating to CMH’s patient account billing. The PFS Representative submits timely and accurate bills to insurance companies and patients. This position maintains current knowledge of medical billing regulations, forms and processes.

Responsibilities

• Assists with questions and concerns relating to CMH’s patient account billing.
• Submits timely and accurate bills to insurance companies and patients.
• Maintains current knowledge of medical billing regulations, forms and processes.
• Aid patients with account inquiries and issue resolution.
• Obtain accurate information from patients, answer and initiate phone calls, perform data entry, insurance billing, account follow-up and public contact.

Job Requirements

• Knowledge of /Skill/Ability to:
• Moderate level of interpersonal skills required in order to assist patients/insurance companies via phone and in person.
• Moderate level of analytical ability required in order to review/research patient/insurance companies’ complaints/ concerns as necessary.
• General office skills including phones and keyboarding; computer skills, including data entry and keyboarding; and 10-key;
• Communication skills;
• Ability assess emergency situations and work well under pressure.

• Minimum of (2) two years previous medical billing, third party, agency (Medicare/Medicaid).
• Patient follow-up experience strongly preferred;
• Medical terminology and knowledge of various reimbursement/ billing formularies (ICD-10; CPT 4; DRG) strongly preferred.

Physical Demands and Work Environment Conditions / ADA Compliance

• Position involves standing, walking, stooping, and occasional carrying and lifting of lightweight materials (up to 20 pounds).
• May be required to sit for extended periods of time.
• Requires visual acuity and depth perception to recognize words and numbers;
• Hand and finger dexterity and hand/eye coordination to use a computer keyboard and common office equipment.