Job Description
Medicare – Patient Financial Services Rep – Remote
- Saint Paul, Minnesota
- Non-Clinical Support Staff
- 88598
Job Description
Overview
This position is responsible for supporting management in hospital based Medicare billing and collecting patient accounts associated with inpatient and outpatient facility services, as well as professional services. The successful candidate will join a Medicare specialty team; experience in billing, denial, and follow-up of Medicare claims is highly valued.
Quick Details:
- Day Shift (8.5 hours daily within 6:30am-6pm)
- Eligible for benefits
- 1.0 FTE (80 hours over 2-week pay period)
- No weekend requirements
- Location = fully remote
Responsibilities
Job Responsibilities:
- Basic understanding of Revenue Cycle, and the importance of evaluating all appropriate financial resources to assist in securing patient accounts to maximize reimbursement for the healthcare system.
- Demonstrate billing and collection proficiency of, at least, one specific insurance payer.
- Responsible for evaluating and processing correspondences including claim rejections, medical record(s) requests, itemized bills, invoice clarifications, etc.
- Analyze insurance claims for accuracy of payments and rejections, as well as properly account for all payments and adjustments.
- Monitor accounts for timely follow-up and prompt resolution.
- Assist in continuous improvement of accounts receivable while minimizing controllable loss categories, e.g., timely filing.
- Assist customers with billing questions and ensure appropriate resolution.
- Explain and interpret insurance eligibility rules, guidelines and regulations.
- Stay informed of updates to regulatory changes.
- Attend periodic meetings regarding various insurance payers to discuss denials, claims processing and other discrepancies, and assist in developing action plans to correct evaluated issues.
This position requires remote work. In addition to adhering to all Fairview policies, guidelines, procedures, the Fairview Commitments, and the Code of Conduct, it is the expectation the following requirements of the remote work policy will be met, including but not limited to:
- Remote workspace that is clean, safe, and professional.
- Maintains an internet connection consistent with Fairview standards at remote workspace.
- Remain productive and responsive during their scheduled work hours.
- Attend primary Fairview location, as needed.
Qualifications
Required Experience:
- 3-5 years in an office clerical setting, of which 1 year should be in a hospital or clinic business office
Preferred:
- 2 years in a hospital or clinic business office.
- Experience with Medicare billing, collections, denial and follow-up
- Basic ability to use a computer and applications that are associated with performing basic work tasks (navigate in Windows, Outlook, epic EHR, etc.).
- Achieves thoroughness and accuracy when accomplishing a task.
- Ability to compile, assimilate, organize, and store printed and electronic information accurately.
- Skilled in developing effective rapport with customers, coworkers, or families, actively listening to develop a positive connection.
Additional Skills/Abilities:
- Confidentiality
- Critical thinking/decision making
- Ability to prioritize
- Problem solving ability
- Ability to work in a team setting
- Understand and respect cultural diversity