Patient Financial Services Representative

Care New England; Warwick (RI); On-site; USD 42,000 - 56,000; Full time

Job summary

Care New England is seeking a Billing Assistant to address patient questions, explain charges, and resolve issues related to billing and payments.

You will assess eligibility for medical coverage programs, assist with charity care applications, and coordinate with insurers to ensure accurate, timely billing.

Strong customer service skills, knowledge of Epic EHR and Excel, and a commitment to confidentiality are required. Experience in a healthcare setting is preferred.

Qualifications

• High School Diploma or GED required.
• 1-3 years of customer service experience in healthcare or business environment.
• Excellent interpersonal and organizational skills.
• Working knowledge of word processing, Excel, and EHR systems (Epic).
• Knowledge of third party payers preferred.
• Excellent oral and written communication with internal and external customers.

Responsibilities

• Effectively interpret and explain charges, services, insurance requirements, out-of-pocket expenses and hospital policies.
• Ensure accurate billing information is obtained, updated, and forwarded to the biller.
• Advise uninsured/underinsured patients about insurance programs and charity care; assist with applications.
• Apply Care New England discount policies and develop payment schedules.
• Communicate with staff, insurers, and attorneys to resolve patient inquiries.
• Process patient correspondence to ensure timely collections.
• Report critical billing trends to management and suggest process improvements.
• Support colleagues to meet department goals and protect patient confidentiality.

Skills

Customer service

Healthcare billing

Microsoft Excel

Epic EHR

Education

High School Diploma

Tools

Epic EHR

Microsoft Excel

Job description

Job Summary

Responsible for addressing patient questions and concerns related to billing. Prompt resolution of patient issues/complaints. Assessing and assisting patients in applying for medical coverage or programs. Collection of patient liabilities.

Duties & Responsibilities

• Effectively interpret and explain to patients and their families any charges, services, insurance requirements, out of pocket expenses and hospital policies regarding payment of bills.
• Ensures that accurate billing information is obtained, updated in the appropriate systems and forwarded to the appropriate biller.
• Utilize knowledge to advise uninsured and under insured patients about federal, State or local insurance programs that they may be entitled to. Effectively counsel patients about the charity care program. Assist patients with completing applications or refer them to the appropriate party for assistance.
• Utilize Care New England policies and procedures when addressing community benefit discounts, pre-payment discounts, prompt pay discounts or any other patient discounts.
• Develop payment schedules consistent with established policies and procedures.
• Effectively communicates with internal and external staff, as well as insurance companies, attorneys and others to appropriately resolve patient inquiries.
• Process correspondence from patients and others in a timely manner to ensure continuous collections.
• Reports critical issues to management related to billing, charging, insurance or any other trends that impact effective customer service, offer suggestions for process improvement.
• Provides assistance to co-workers within the department to meet weekly, monthly and yearly department goals.
• Preserves and protects patient's rights to confidentiality.

Requirements

• High School or GED Required
• High School Diploma with a minimum of 1-3 years of previous customer service experience in a healthcare or business environment required.
• Excellent interpersonal and organizational skills required.
• Working knowledge of computer applications, including word processing, Microsoft Excel, Electronic health records (EHR) Epic
• Knowledge of third party payers preferred.
• Excellent oral and written skills with the knowledge and ability to communicate with internal and external customers required.

About Us

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

EEO Statements

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.