Patient Financial Services Customer Service Representative

Fairview Health Services is seeking a full-time Patient Financial Services Customer Service Representative to provide exceptional customer service to patients regarding billing and insurance inquiries. The role involves managing patient accounts, ensuring accurate billing, and supporting the Revenue Cycle team while working in a flexible virtual environment.

Responsibilities:

• Maintains the best practice routine per department guidelines:
• Handle calls presented to CSC through the automated call distribution system accurately and efficiently
• Work independently in problem solving with patients regarding their accounts in both hospital and clinic billing situations. Counsel the patient on the complexity of the interdependency between hospital and physician billing within the patient’s continuity of care
• Able to handle each call with compassion, service, dignity and integrity in mind as aligned with MHealth Fairview's values
• Timely processing of patient/insurance requests for follow-up of payment research, checking charges, coding review, insurance processing concerns, etc
• Identifies when callers need to be referred to insurance specialist or escalation staff for further assistance
• Notifies patient and/or guarantor of self-pay balances co-pays/deductible/coinsurance, etc
• Understands and adheres to Revenue Cycle’s Escalation Policy
• Contributes to the process or enablement of collection of expected payment
• Meet department goals and maintain productivity while working remotely
• Manage accuracy of accounts to ensure appropriate billing and compliance with patient privacy and data integrity:
• Timely and accurate work
• Verifies insurance benefits to maximize reimbursement
• Assists customers regarding billing questions and ensures appropriate resolution of problems. Explain and interpret eligibility rules and regulations or identify other resources available for financial assistance. Identify patients who may be eligible for financial exceptions. Keep updated on changes with regulatory issues
• Validate patient data is accurate and authorization is in place to provide information
• Uninsured accounts reviewed and managed to include validation that uninsured discounts have been appropriately applied, and all payment sources available to the patient have been explored
• Bad debt management of accounts and interactions with vendors
• Counsel patients throughout the collection process on solutions available to them for account resolution
• Problem solves with vendors and patients on reasonable resolutions
• Identify patients with financial need

Requirements:

• 2 years customer service experience
• This individual should have strong interest in learning new IS systems (PASS, Deloitte overlay system, Healthworks, etc) as well as the ability to work independently
• Associate of Arts
• 2 years in healthcare customer service
• 3 years experience in a hospital or clinic business office
• Previous call center experience