Category:
Admin Support
City:
Jackson
State:
Tennessee
Shift:
8 - Day (United States of America)
Job Description Summary:
This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts, cash application and reconciliation and/or resolving customer service issues. This position requires basic understanding of the Revenue Cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the health system. The Patient Financial Services (PFS) Representative, Level 1 must also have basic knowledge of accounting, healthcare, and general office procedures, and be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payers, physicians, patients, other departments, etc. The PFS Representative, Level 1 is responsible for account resolution, managing correspondence with payers, patients, and departments, and working continuously to improve aging of receivables while minimizing controllable losses. This position assumes responsibility for collecting and documenting information on behalf of the patient.
Additional responsibilities include notifying patient and/or guarantor of liabilities, verifying insurance benefits, and assisting customers regarding billing questions. The PFS Representative, Level 1 works directly with customers, physicians, and payer representatives to provide information and resolve issues. Focus on customer service and process improvements are critical to this position, as are communication and conflict resolution skills. The PFS Representative, Level 1 must complete all initial and annual training relevant to the role and comply with all relevant laws, regulations, and policies.

EDUCATION:

• High School Diploma required.

EXPERIENCE:

• 1-2 years of healthcare or related experience preferred.
• Knowledge of medical billing and collections or other financial policies and procedures and must possess the ability to perform medical billing, collection, or customer service functions as normally acquired through related work experience or the equivalent of three (3) months of on-the-job training.

KNOWLEDGE, SKILLS AND ABILITIES:

• Requires basic knowledge of accounting principles and general office procedures, including healthcare revenue cycle operations.
• Ability to understand basic knowledge of principles that directly impact the accounts receivable, including debit and credit transactions; charge transfers; contractual allowances and adjustments; financial class changes required.
• Requires basic knowledge of standard PC word processing and website navigation for payer follow up.
• Demonstrated communication skills to clearly and concisely communicate verbally and in writing with peers, managers, payers, physicians, patients, and other departments required.
• Strong interpersonal skills and the ability to work through a variety of issues in a diplomatic fashion required.
• Ability to read, write, interpret, follow, and apply oral and written procedures and perform mathematical calculations as normally acquired through high school graduation.
• Basic analytical and mathematical skills required.
• Maturity and ability to assume the responsibility for an assigned section within a work group of the organization’s Accounts Receivable.
• Knowledge and general understand of medical coding systems preferred.
• Ability to understand, make changes, and apply complex and detailed guidelines and billing instructions to meet regulatory mandates and ensure that the hospital receives maximum reimbursement.

Please refer the Job description for details