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in Iola, KS
Patient Financial Services Representative - Full-time / Part-time
Hours | Part-time, Full-time |
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Location | Iola, KS Iola, Kansas |
About this job
Essential Functions: (Detailed tasks, duties and responsibilities)
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Reviews incoming mail daily for any denials, requests for records, etc. and processes appropriately.
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Resolves claim edits and works claim queues in Revenue Manager in a timely manner.
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Works to resolve issues in work queues in Revenue Cycle in a timely manner.
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Collaborates with Patient Financial Services Clerk as well as General Accounting in reviewing Remittance Advices for accuracy of posting.
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Performs Credit Balance analysis and processes refund requests as needed
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Completes insurance follow up on accounts when needed.
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Communicates with ancillary departments when assistance is needed to resolve charge or documentation issues in order to submit claims.
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Generates and sends letters or supporting documentation to payers as needed to validate timely filing.
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Researches and logs service requests to EHR vendor to resolve system issues.
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Answers patient questions and assists with accepting payments or setting up payment arrangements in a friendly manner, providing excellent customer service. May also assist patients with the financial assistance application and process.
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Enters appropriate comments on patient accounts in EHR.
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Attends continued education webinars and meetings.
- Attends other meetings as required or requested.
Rural Health Clinic Patient Financial Services Representative
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Reviews incoming mail daily for any denials.
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Performs Credit Balance analysis and processes refund requests as needs.
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Completes insurance follow up on accounts when needed.
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Generates and sends patient statements monthly.
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Provides month end and year end reports to CFO in a timely manner.
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Posts payments to accounts in a timely and accurate manner.
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Assists patients with payment arrangements when needed.
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Identifies and submits accounts that need to be turned to bad debt.
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Performs troubleshooting and communicates with RHC EHR vendor.
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Completes insurance credentialing for all providers.
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Runs reports out of RHC EHR on demand as requested.
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Attends continued education webinars and meetings.
- Attends other meetings as required or requested.
Home Health/Hospice Patient Financial Services Representative
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Submits/bills all third party payer services rendered
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Follows up on all claims and self-pay portions
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Reviews and process credit balances
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Reviews EOB and insurance remittance for accuracy of posting; works all billing vendor edits and rejected claims through third party electronic claims processor
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Completes coding with RN's, compares coding on 485s and OASIS
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Applies for Medicaid PA's and keeps track of renewals; works with clinical staff to determine what type of PA's are needed.
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Send in prior authorization requests for Hospice nursing home patients who have Medicaid for room and board.
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Enter NOE's for all Hospice patients with Medicare and/or Medicaid within a 5 day time frame.
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Review all OASIS assessments for accuracy and submit data within allotted time frame
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Check common working file to see if patients are eligible for Home Health or Hospice services
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Submits claims to Medicaid for Nursing Home Hospice patients and check requests for payments to the nursing homes
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Downloads Remittance Advices and transfer them to the file for Accounts Receivable; respond to insurance requests for documentation; track ADR's through Ability Ease and follow-up with requested documentation as needed.
- Set up new payers in the Brightree system.
Minimum Requirements: (Educational and job experience requirements. Knowledge, skills, abilities)
Education: High School Diploma or equivalent required.
Experience: Working knowledge of computer systems, personal computer experience, and ability to operate a 10 key calculator.
Working knowledge of CPT and ICD 9 & 10 coding.
One year of billing experience preferred.