Patient Financial Services Representative

BASIC PURPOSE:
The purpose of this position is to bill and collect insurance accounts receivable for multi-payer sources.

ESSENTIAL RESPONSIBILITIES:

• Prepares and sends claims monthly to payers for dialysis services rendered at our CDC clinics via an electronic billing system.
• Analyzes Accounts Receivable to ensure timely payment is received for claims billed. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified.
• Follows and reports status of delinquent patient accounts to the Director of Patient Accounts and Chief Financial Officer
• Works on various revenue collection projects/duties as assigned

EDUCATION, EXPERIENCE TRAINING AND LICENSES/REGISTRATIONS:

• High school diploma required, some college accounting courses or other field related continuing education
•  Knowledge of electronic billing systems preferably Quadex is required.
• At least 3 years’ experience in a Healthcare Accounts Receivable setting is essential
• Excellent customer service, interpersonal and communication skills required
• Knowledge of medical billing/collection practices
• Knowledge of business office procedures
• Knowledge of basic medical coding and third-party operating procedures and practices
• Ability to establish and maintain effective working relationships with patients, employees and the public

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