Patient Financial Representative / Biller

Position Summary

The Financial Representative is responsible for collecting all monies due for services rendered in accordance with established credit policies.

Schedule

Monday through Thursday, 6:30 AM to 4:00 PM; Friday, 8:00 AM to 12:00 PM.

Key Responsibilities

• Review and submit claims to third-party payers from the patient accounting system.
• Review and correct daily rejection and submission reports to confirm claim submission.
• Perform collection and follow-up activities on outstanding accounts receivable.
• Analyze information to determine primary insurance liability in coordination of benefits cases.
• Review remittance advice payments and prepare claims for secondary or tertiary payers.
• Calculate deductibles and coinsurance and key crossovers into the Medicaid system.
• Review payment denials and determine the next step to resolve issues before resubmitting corrected claims.
• Research and resolve special billing circumstances that may delay prompt payment.
• Identify problem delinquencies and recommend disposition such as collections or write-offs.
• Monitor amounts owed to ensure the correct financial class is assigned.
• Document account notes in Meditech and NextGen.
• Prepare business office bank deposits and enter credit card payments.
• Register patients accurately for hospital visits.
• Respond to patient, visitor, and coworker inquiries in a respectful manner.
• Accept payments from patients presenting to the business office.
• Follow emergency and disaster procedures as required.
• Stay informed about regulations and changes affecting accounts receivable collection.
• Comply with PPE and infection control requirements as needed.