Patient Financial Services Representative

Automatic Data Processing, Inc.; Meridian (ID); Hybrid; USD 19,000 - 28,000; Full time

Benefits offered by this job

40 hour work week

Hybrid training program

Monthly Bonus Opportunities

Medical

Dental

Life Insurance

PTO

Holiday Pay

401k

Short/Long Term Disability

Job summary

FMS, Inc. is hiring a Patient Financial Services Representative to manage patient inquiries about billing, insurance, and services from our medical provider clients. You will negotiate payment arrangements, address insurance questions, and ensure timely, compliant communication with patients.

The role requires strong communication and negotiation skills, the ability to manage multiple tasks, and familiarity with HIPAA and FDCPA regulations. Hybrid work and benefits are available.

Qualifications

• Experience in healthcare collections, billing, or customer service is preferred.
• Knowledge of healthcare billing processes, insurance claims, and medical terminology is preferred.
• Familiarity with HIPAA and FDCPA regulations is preferred.

Responsibilities

• Proactively contact patients to negotiate and resolve outstanding balances, offering payment options and terms within client guidelines.
• Handle all communications (phone, email) regarding billing inquiries, insurance claims, service disputes, and questions about procedures.
• Assist patients in understanding their explanation of benefits.
• Route concerns to appropriate clinical or billing teams for resolution.
• Record all patient interactions, payment agreements, and resolutions in HIPAA-compliant systems.
• Provide empathetic, high-quality service to ensure patient satisfaction.

Skills

Communication skills

Negotiation skills

Multitasking

Healthcare billing knowledge

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

St. Luke's Active - Regular full-time Boise, ID, Boise, ID, US

3 days ago Requisition ID: 1167

Salary Range: $17.00 To $17.00 Hourly

Overview:

The Patient Financial Services Representative is responsible for managing patient inquiries related to billing, insurance, and services received from our medical provider clients. This includes attempting to resolve outstanding balances through payment negotiations while addressing broader patient concerns such as insurance disputes, service-related issues, or general inquiries. The representative will manage both inbound and outbound communications, ensuring timely and professional responses, and routing issues to the appropriate teams when necessary.

Key Responsibilities:

• Payment Resolution: Proactively contact patients to negotiate and resolve outstanding balances, offering payment options and terms within the client’s guidelines. This includes setting up payment plans and processing payments securely.
• Patient Interaction: Handle all communications (phone, email) regarding billing inquiries, insurance claims, service disputes, and questions about procedures, ensuring each concern is documented and addressed or routed appropriately.
• Insurance Assistance: Assist patients in understanding their explanation of benefits.
• Service-Related Issues: Address concerns about the medical services received, ensuring these are routed to the appropriate clinical or billing teams for resolution.
• Documentation & Compliance: Accurately record all patient interactions, payment agreements, and issue resolutions in compliance with HIPAA and other applicable regulations.
• Customer Service Excellence: Provide empathetic, high-quality service to ensure patient satisfaction, even when dealing with complex or sensitive financial or service-related issues.

Qualifications:

• Strong communication and negotiation skills, with the ability to resolve both financial and service-related issues.
• Ability to manage multiple tasks and resolve patient concerns efficiently.
• Experience in healthcare collections, billing, or customer service is preferred.
• Knowledge of healthcare billing processes, insurance claims, and medical terminology is preferred.
• Familiarity with HIPAA and FDCPA regulations is preferred.
• Hybrid available upon successful completion of on-site training program
• Monthly Bonus Opportunities Available
• Medical
• Life Insurance
• PTO (first day of month following 60 days of employment)
• Holiday Pay (after 60 days)
• 401k after one year of employment
• Short/Long Term Disability

WORK-FROM-HOME REQUIREMENTS:

• Reliable high-speed internet and secure, quiet workspace free of any and all distractions
• Employee-provided WFH equipment
  • Desktop & Dual Monitors - 4vCPU with minimum 1.6 GHz or faster processor. For higher video/screen share resolution and frame rate, a four-core processor or better is required
  • RAM: 8000 MB
  • Hard Drive: 6 GB or more
  • .NET Framework version 4.6.1 or later
  • Windows 10/11
  • Mouse
  • Headset
  • Webcam
• Comfortable using video conferencing tools throughout each scheduled shift
• Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment

FMS, Inc. is a twenty-five year plus, fastest growing, and most successful privately owned accounts receivable and consumer contact organization. FMS, Inc. is expanding and creating new career opportunities in our established Tulsa, OK and Meridian, ID offices.

Overview:

The Patient Financial Services Representative is responsible for managing patient inquiries related to billing, insurance, and services received from our medical provider clients. This includes attempting to resolve outstanding balances through payment negotiations while addressing broader patient concerns such as insurance disputes, service-related issues, or general inquiries. The representative will manage both inbound and outbound communications, ensuring timely and professional responses, and routing issues to the appropriate teams when necessary.

Key Responsibilities:

• Payment Resolution: Proactively contact patients to negotiate and resolve outstanding balances, offering payment options and terms within the client’s guidelines. This includes setting up payment plans and processing payments securely.
• Patient Interaction: Handle all communications (phone, email) regarding billing inquiries, insurance claims, service disputes, and questions about procedures, ensuring each concern is documented and addressed or routed appropriately.
• Insurance Assistance: Assist patients in understanding their explanation of benefits.
• Service-Related Issues: Address concerns about the medical services received, ensuring these are routed to the appropriate clinical or billing teams for resolution.
• Documentation & Compliance: Accurately record all patient interactions, payment agreements, and issue resolutions in compliance with HIPAA and other applicable regulations.
• Customer Service Excellence: Provide empathetic, high-quality service to ensure patient satisfaction, even when dealing with complex or sensitive financial or service-related issues.

Qualifications:

• Strong communication and negotiation skills, with the ability to resolve both financial and service-related issues.
• Ability to manage multiple tasks and resolve patient concerns efficiently.
• Experience in healthcare collections, billing, or customer service is preferred.
• Knowledge of healthcare billing processes, insurance claims, and medical terminology is preferred.
• Familiarity with HIPAA and FDCPA regulations is preferred.

Benefits:

• 40 hour work week
• Hybrid available upon successful completion of on-site training program
• Monthly Bonus Opportunities Available
• Medical
• Dental
• Life Insurance
• PTO (first day of month following 60 days of employment)
• Holiday Pay (after 60 days)
• 401k after one year of employment
• Short/Long Term Disability

WORK-FROM-HOME REQUIREMENTS:

• Reliable high-speed internet and secure, quiet workspace free of any and all distractions
• Employee-provided WFH equipment
  • Desktop & Dual Monitors - 4vCPU with minimum 1.6 GHz or faster processor. For higher video/screen share resolution and frame rate, a four-core processor or better is required
  • RAM: 8000 MB
  • Hard Drive: 6 GB or more
  • .NET Framework version 4.6.1 or later
  • Windows 10/11
  • Mouse
  • Headset
  • Webcam
• Comfortable using video conferencing tools throughout each scheduled shift
• Ability to maintain confidentiality and protect patient health information (PHI) in a remote environment

FMS, Inc. is a twenty-five year plus, fastest growing, and most successful privately owned accounts receivable and consumer contact organization. FMS, Inc. is expanding and creating new career opportunities in our established Tulsa, OK and Meridian, ID offices.

Training hours - 8:00am-5:00pm
Future: Monday – Thursday 8a – 8p (one late shift 11a – 8p)
Friday 8a – 5p
Saturday 8a – 12p (one Saturday a month)