Patient Financial Service Representative - Full Time - Days - AHSIC
Responsible for managing assigned AR and collection of outstanding balances from patients and third parties for durable medical equipment claims. Responsibilities include, but are not limited to:
Run AR reports independently.
Review, analyze and compare information on reports.
Prioritize work based on age and balance of accounts to avoid timely filing denials.
Review correspondence and EOBS and take appropriate action.
Maintain a follow-up system to assure accounts are brought to conclusion in a timely manner.
Submit appeals and corrected claims as necessary.
Prepare and submit payor projects.
Answer calls and inquiries from patients to keep them informed of any issues with their claims.
Request necessary information from patients and physicians to expedite claim processing.
Negotiate prompt pay discounts.
Request adjustments, transfers and reversals with the proper justification.
Identify accounts that need to be sent to collections in a timely manner.
Communicate payor trends in a timely manner.
Work collaboratively with other departments to create a smooth patient experience.
Working knowledge of DME medical policies.
All other duties as deemed necessary.
High school diploma or equivalent
Some college preferred
- Must be proficient in MS Office Suite
- Must be organized and have the ability to work independently, identify and solve problems.
- Excellent verbal and written communication skills
- 1 year billing/collections experience in the medical field preferred
- Ability to read, interpret and apply medical policies.
- Review payer projects utilizing Excel and reporting tools.