Patient Financial Representative

Principal Responsibilities and Competencies:

o Liaison between Trubridge private pay outsourcing and OCH. Work with Trubridge to ensure soft pay collections run smoothly, address account issues thru Task Manager, make bi-weekly conference call with Trubridge.

o Monthly key and build Medicare Bad Debt log. This entails receiving monthly info from CBS, printing files and itemized statements for keying of log to be turned in to Supervisor each month.

o Process applications from patients who have applied for our inhouse Financial Assistance Program; whether they are denied, 100% approved or approved partially based on the sliding scale, discount accordingly for approvals, mail & contact patient with approval or denial. Log applications received with their approval and/or denial status.

o Work with employees for payoffs on their hospital bills or set up payroll deduction and monitor those until paid in full.

o Process employee payments in CPSI and ECW.

o Keep ongoing insurance payments made by virtual credit cards cancelled due to high credit card processing fees.

o Weekly review of past due letter 1’s to ensure they are ready to mail.

o Weekly review of accts for bad debt write-off. File sent by TB reviewed for accounts that do not meet the requirements for bad debt write-off.

o Weekly review of report of Medicaid accounts that have a statement scheduled to send to patient. Work with Medicaid follow-up to verify if statement should be sent or if adjustment to balance is needed.

o Answer incoming calls on main line to business office to take payments over the phone and resolve patient account concerns.

o Alternate cashier’s office coverage, process patient payments, answering the phone, reviewing daily receipts report for private pay receipt accuracy and reporting payments to Credit Bureau Systems as needed.

o When needed, review inpatient/outpatient register for IC applications, work with pts using soft collections, process Indigent Care applications and/or denials, do IC pre-screenings when applicable and review of statement preview report.

o Cover data processing when needed, posting of cash, entering charges into CPSI and bank statement reconciliation.

o Generate Good Faith Estimates (GFE) for all scheduled self-pay services in compliance with the No Surprises Act.

o Other duties as needed

Education: High school diploma or equivalent

Experience: Preferred experience in insurance billing and follow-up.

Work Environment: Office setting

Physical Demand: Walking, frequent sitting at desk, occasionally stair climbing, occasionally lifting, looking at computer screen, writing.

Schedule: Monday through Friday; 40 hours.

Travel: Occasionally travels from off-site business office to hospital or clinic locations