Patient Financial Representative - Full Time - Days

Job Summary

Reports to and is under the supervision of the Director of Patient Access Services or designee. Acts as a liaison between the hospital and the patient/guarantor to assist and counsel each patient in meeting his or her financial obligation for services rendered.

Core Job Responsibilities

• Reviews Admission/Transfer report each morning against Patient Financial Rep sheets to ensure all Admissions are accounted for
• Verifies all Admission/Observation accounts for correct demographics, guarantor, subscriber, Insurance, ID#’s etc.
• Is up to date with Insurance company requirements for Admission Notification policies.
• Uses all available systems to make Admission Notifications and check eligibility (i.e. Medifax, Websites, Email, Phone, Fax)
• Documents all pertinent information in the hospital’s computer system under collection note entry, in the appropriate field
• Identifies on Financial Rep Sheet all Admissions/Observations/Ambulatory Accounts that have a Copay/Deductible due with $ amount
• Contacts appropriate Ins. Co(s) to obtain eligibility/pre-certification on all pre’d accounts
• Informs patient/guarantor verbally and/or in writing of financial responsibility for copay, deductible, and/or expenses not covered by insurance
• Actively attempts collections of A/S and IP copayments/deductibles - offering prompt pay discounts as applicable
• Obtains all necessary documents, insurance forms, and assignments of benefits etc., which are essential for the compensation of hospital services
• Makes appropriate status changes in a timely manner
• Reviews Census Activity Report daily - Combines accounts to meet the regulations of Medicare, Medicaid, and any contracted insurance carriers
• Performs cashier duties including posting payments, opening/closing of the cashier office, answering billing questions/referring to appropriate depts
• Secures the cashier drawer - balancing daily
• Reviews/prepares each discharge account for billing
• Identifies short stay IP accounts and reports to appropriate dept. for clarification
• Monitors UHC Admits ensuring Admission Notification done within 24 hours
• Has the ability to make change for employees, patients, visitors, etc.
• Assists patient registrars with any insurance related inquiries

Education/Experience Requirements

Required: 

• High School diploma or GED
• Two years experience as patient financial representative or equivalent
• Basic knowledge of insurance company requirements

Licensure/Certification Requirements

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id  89424 
Department  PATIENT ACCESS SERVICES 
Shift Days
Shift Hours Worked  7.50
FTE 0.9375 
Work Schedule  HRLY NON-UNION
Employee Status A1 - Full-Time 
Union Non-Union
Pay Range $17 - $24 Hourly