Patient Financial Services Representative (Flint Hills) - Patient Accountin at Stormont Vail Health

Topeka, Kansas, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Mar, 26

Salary

0.0

Posted On

14 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service Skills, Medical Terminology, Billing Rules, Insurance Correspondence, Payment Resolution, Claim Submission, Data Documentation, Problem Solving, Regulatory Compliance, Communication Skills, Research Skills, Attention to Detail, Team Collaboration, Process Improvement, Technical Knowledge, Time Management

Industry

Hospitals and Health Care

Description

Position Status: Full time Shift: First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt A Brief Overview Under direction, responsible for the processing of patient accounts after initial bill submission to final 4rd party payment resolution. This responsibility includes timely and accurate resolution of denied claims, insurance correspondence and follow-up on unpaid claims that exceed the clean claim payment cycle. These activities are completed following established policies and procedures in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organizations Code of Conduct. Education Qualifications High School Diploma / GED Required Associate's Degree Preferred Experience Qualifications 1 year Experience in healthcare financial services, healthcare registration services or related healthcare experience. Required Skills and Abilities Working knowledge of basic medical terminology preferred. (Required proficiency) Detailed knowledge of major third-party billing and contract requirements. (Required proficiency) Excellent customer service skills. (Required proficiency) What you will do Detailed understanding of all technical primary and secondary billing rules to include, policies and procedures for assigned third party payers and contracts. Reads and comprehends correspondence from government and third-party payors to keep abreast of new regulations, policies and billing and payment requirements. Consistently and accurately documents accounts with activities as needed in a timely manner. Researches and accurately resolves unpaid insurance account (primary and secondary). Analyzes and resolves insurance correspondence for unpaid claims. Thoroughly researches and resolves identified payment discrepancies in a timely manner including identifying and correct posting errors (i.e. money applied to wrong account or not posted correctly to account). Demonstrates a good working knowledge of all applicable processes within the PFS Department. Ensures necessary data, identified processing issues and related information is provided to departmental management, appropriate departments and individuals within the organization in a timely manner. Exhibits a professional and pleasant demeanor when dealing with patients, employees, third-party payers and other customers of the organization. Identifies and notifies management of customer service issues and potential process/system problems that cause billing and payment errors and assists in improvement implementation as requested. Identifies and recommends computer system enhancements, computer applications and procedural changes to improve (1) accuracy and timing of claim submissions; (2) accuracy of third party payer and patient payments; (3) customer relations, and (4) efficiency of operations. Reads and comprehends correspondence from government and third-party payers to keep abreast of new regulations, policies and billing and payment requirements. Answers questions from other staff or clinic offices by phone or e-mail in a timely manner. Attends internal and external seminars for personal growth and development and shares pertinent information with other team members. Assists with the revision or development of the department's internal documents, procedural manuals and forms, as requested. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Not Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability Hybrid Scope No Supervisory Responsibility No Budget Responsibility No Budget Responsibility Physical Demands Grasping (Fine Motor): Rarely less than 1 hour Grasping (Gross Hand): Rarely less than 1 hour Handling: Rarely less than 1 hour Hearing: Continuously greater than 5 hours Repetitive Motions: Continuously greater than 5 hours Sitting: Continuously greater than 5 hours Standing: Occasionally 1-3 Hours Stooping: Rarely less than 1 hour Talking: Continuously greater than 5 hours Working Conditions Dusts: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications. Email your resume and cover letter to the applicable team below. We'll review your experience to see if there may be a fit with other current or upcoming opportunities. Nursing: nursingcareers@stormontvail.org Allied Health: alliedhealth@stormontvail.org Ancillary: ancillary@stormontvail.org Interested in working in Healthcare but don't know where to start? Reach out to our Career Counselor, Morgan Ray via email: morgan.ray@stormontvail.org Stormont Vail Health is a nonprofit integrated health system that has been serving the health care needs of Kansas for more than 130 years. Stormont Vail has been recognized as a Magnet® organization since 2009 by the American Nurses Credentialing Center. It is composed of Stormont Vail Hospital, a 586-bed acute care hospital, and Cotton O’Neil Clinic, a multi-specialty physician group with more than 500 providers, which includes more than 250 physicians. Nearly 5,300 employees provide care and support services for patients in the hospital and 35 other locations, including the Cotton O’Neil Heart Center, Cancer Center, Diabetes & Endocrinology Center, Digestive Health Center, Pediatrics clinics and 10 regional primary care clinics. Stormont Vail Health is committed to its mission of improving the health of the community by being a national leader in providing compassionate, high quality and efficient integrated care through collaboration that results in a healthier community.

Responsibilities

The Patient Financial Services Representative is responsible for processing patient accounts from initial bill submission to final payment resolution. This includes resolving denied claims, following up on unpaid claims, and ensuring compliance with established policies and regulations.