Patient Financial Services Specialist II: Billing & Collections

Fairview Health Services; Saint Paul (MN); On-site; USD 52,000 - 75,000; Full time

Job summary

Fairview Health Services is actively seeking a billing and accounts receivable professional to manage inpatient and outpatient accounts. You will ensure expected payments are collected and complex customer service issues are resolved, while aligning with revenue cycle policies.

The role emphasizes verification of insurance and patient demographics, pursuing timely payer resolutions, and educating patients on liability.

Qualifications

• 1 year in a medical billing office setting or relevant experience
• Organizational skills
• Communication skills
• Attention to detail

Responsibilities

• Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate.
• Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization.
• Performs the best practice routine per department guidelines.
• Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback.
• Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible.
• Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients.
• Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts.
• Responsible for processing external correspondence in a timely and efficient manner.
• Ensures internal correspondence is clearly and professionally communicated and processed expeditiously.
• Responsible for verification of insurance and/or patient demographics
• Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts.
• Educates patients and/or guarantors of patient liability when appropriate.
• Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work
• Understands and Adheres to Revenue Cycle’s Escalation Policy
• Demonstrates proficiency through daily work
• Responsible for processing accounts through multiple workflows
• Responsible for working accounts requiring more attention to detail
• Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work.
• Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes.
• Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment.
• Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary.

Skills

Medical billing

Communication

Attention to detail

Organizational skills

Tools

Epic

Brightree

Billing Bridge

Job description

Fairview Health Services is actively seeking a billing and accounts receivable professional to manage inpatient and outpatient accounts. You will ensure expected payments are collected and complex customer service issues are resolved, while aligning with revenue cycle policies.

The role emphasizes verification of insurance and patient demographics, pursuing timely payer resolutions, and educating patients on liability.