Patient Financial Representative Financial & Banking - San Antonio, TX at Geebo

Patient Financial Representative

3.
1 Quick Apply Full-time 1 hour ago Full Job Description Please note we have 2 locations/shifts:
928 W Commerce Mon - Fri 8:
30a - 5:
30p 601 N Frio Bldg 1 Wed - Sat 7:
30a - 5:
30p GENERAL SUMMARY The Patient Financial Representative is responsible for supporting departmental efficiencies and clinic front office operations by performing all aspects of billing, collections and reimbursement duties for services rendered in a prompt and efficient manner.
Their responsibility includes, but is not limited to, performing focused reviews (pre-audit) of scheduled and unscheduled patients' records to determine financial eligibility, verification of insurance coverage and benefits, obtaining pre-authorizations and identifying patient financial responsibility.
The Patient Financial Representative is responsible for ensuring state funded authorizations and patient funding sources are accurately entered in the Electronic Health Record (EHR).
Additionally, they employ proper compliant patient liability collection techniques before, during & after date of service; counsel patients and families on insurance, payment issues, and account follow-up and payment resolution; and produce and monitor assigned reports.
The Patient Financial Representative provides thorough, courteous and professional assistance to internal and external customers in accordance with the Center's Behavioral Principles and Core Values.
ESSENTIAL DUTIES & RESPONSIBILITIES Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation.
The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification.
The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position.
Completes working billing/reimbursement reports, providing proper documentation and making necessary corrections within specified times.
Collects co-pays, deductibles and other out of pocket amounts and fees at the time of visit as needed.
Communicates consumer MAP fees, account balances, co-pays or deductibles due prior to service delivery.
Conducts all phases of the Reimbursement Pre-Audit process 3-5 days prior to scheduled appointments and at time of unscheduled appointments.
Notates any deficiencies on appointment sheet.
Conducts CBO Screenings and Referrals.
Ensures all Compliance errors are reported to the Business Office Administrator and maintains records and files of documentation supporting billing changes that are directed by Business Office Administrator Ensures quality standards are met and proper documentation regarding patient accounting records.
Proactively reviews and resolves suspended services in accordance with procedure to prevent write-offs.
Produces and manages weekly Reimbursement reports:
Suspense Report GR Report Private Pay Report 3rd Party Denial Tickler Report BECA Report, TMHP, Emdeon and IDX Financial Review Report Reconciles daily collections and prepares deposits logs accordingly.
Serves as backup to all Business Services Support functions.
Sets-up financial arrangements with patients as necessary.
Verifies and enters ANSA/CANS Rehab Authorizations.
(Traditional Medicaid and General Revenue) Verifies in and Out Network insurance benefits for all patients that present for services.
Verifies sessions and authorization dates.
Requests insurance authorizations and/or extensions for services prior to service delivery and enter updates into EHR.
Works correspondence and return mail.
Performs other related duties as required.
MINIMUM ENTRANCE QUALIFICATIONS Education and Experience High School diploma or equivalency Two to three (2-3) years' experience with medical office clerical experience to include demonstrated customer service, scheduling, electronic health records and billing.
Two (2) years' experience and excellent working knowledge of insurance carriers' billing regulations and collection requirements by payors (i.
e.
Medicare, Medicaid, Private Insurance, and Maximum Monthly Fee (MMF).
Experience calculating expected reimbursement according to payer regulations and/or contracts Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
Licenses or Certifications None Other Requirements Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs.
and supporting up to 55 lbs.
; bending, stooping and getting on and off the floor without assistance.
Depending on assigned unit/program, applicants for this position must pass a Criminal Justice Information Systems (CJIS) fingerprint-based background check and maintain CJIS eligibility.
Due to CJIS requirements related to system access, the following may result in being disqualified for this position:
Felony Convictions, Felony Deferred Adjudication, Class A & B Misdemeanor Deferred Adjudication, Class B Misdemeanor Convictions, an Open Arrest for Any Criminal Offense (Felony or Misdemeanor), and Family Violence Convictions.
COVID-19 Mandate Requirements Unvaccinated Staff options:
Get Vaccinated per the CMS Mandate.
Have a medical/religious exemption.
Unvaccinated staff will need to test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
Consumer facing staff DO NOT have the option to be unvaccinated without an exemption.
If the position is not consumer facing, staff members may continue to be unvaccinated, without an exemption and test once a week at the employee's own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
Vaccinated Staff options:
For employees who are vaccinated and consumer facing, we are continuing to require wearing an N95 mask.
For all other vaccinated employees, we are requiring a cloth, surgical or N95 mask be worn in all shared spaces.
Vaccinated employees may only go unmasked if in a single occupancy office.
PREFERRED QUALIFICATIONS Bilingual (English/Spanish) SUPERVISION Job has no responsibility for the direction or supervision of others.
COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES Knowledge of:
Applicable software applications Insurance claims Modern office procedures, methods and computer equipment Principles and practices of recordkeeping Principles and practices of reporting claims System databases Skilled in:
Customer service Data entry Organization and time management Performing a variety of duties, often changing from one task to another of a different nature Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios Ability to:
Accurately organize and maintain paper documents and electronic files Compose spreadsheets Dispute claims Effectively communicate, both verbally and in writing Establish and maintain effective working relationships Maintain accurate and complete records Maintain the confidentiality of information and professional boundaries Meet schedules and deadlines of the work Navigate web portals Prepare clear and concise reports Understand and carry out oral and written directions WORK ENVIRONMENT/CONDITIONS The work environment and exposures described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs.
and supporting up to 55 lbs.
; bending, stooping and getting on and off the floor without assistance.
Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care.
Job Type:
Full-time Pay:
$17.
08 - $25.
62 per hour
Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance Schedule:
10 hour shift 8 hour shift Application Question(s):
Have you previously worked with CHCS? (Yes/No) Please indicate the location that best interests you Education:
High school or equivalent (Required)
Experience:
Medical Insurance Billing & Collections:
2 years (Preferred) Clerical Medical Office, billing, scheduling, EMR:
2 years (Preferred) License/Certification:
Driver's License (Required) Work Location:
One location Completes working billing/reimbursement reports, providing proper documentation and making necessary corrections within specified times.
Collects co-pays, deductibles and other out of pocket amounts and fees at the time of visit as needed.
Communicates consumer MAP fees, account balances, co-pays or deductibles due prior to service delivery.
Conducts all phases of the Reimbursement Pre-Audit process 3-5 days prior to scheduled appointments and at time of unscheduled appointments.
Notates any deficiencies on appointment sheet.
Conducts CBO Screenings and Referrals.
Ensures all Compliance errors are reported to the Business Office Administrator and maintains records and files of documentation supporting billing changes that are directed by Business Office Administrator Ensures quality standards are met and proper documentation regarding patient accounting records.
Proactively reviews and resolves suspended services in accordance with procedure to prevent write-offs.
Produces and manages weekly Reimbursement reports:
Suspense Report GR Report Private Pay Report 3rd Party Denial Tickler Report BECA Report, TMHP, Emdeon and IDX Financial Review Report Reconciles daily collections and prepares deposits logs accordingly.
Serves as backup to all Business Services Support functions.
Sets-up financial arrangements with patients as necessary.
Verifies and enters ANSA/CANS Rehab Authorizations.
(Traditional Medicaid and General Revenue) Verifies in and Out Network insurance benefits for all patients that present for services.
Verifies sessions and authorization dates.
Requests insurance authorizations and/or extensions for services prior to service delivery and enter updates into EHR.
Works correspondence and return mail.
Performs other related duties as required.
High School diploma or equivalency Two to three (2-3) years' experience with medical office clerical experience to include demonstrated customer service, scheduling, electronic health records and billing.
Two (2) years' experience and excellent working knowledge of insurance carriers' billing regulations and collection requirements by payors (i.
e.
Medicare, Medicaid, Private Insurance, and Maximum Monthly Fee (MMF).
Experience calculating expected reimbursement according to payer regulations and/or contracts Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
Demonstrated success working in a team environment focused on meeting organization goals and objectives required.
None Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs.
and supporting up to 55 lbs.
; bending, stooping and getting on and off the floor without assistance.
Depending on assigned unit/program, applicants for this position must pass a Criminal Justice Information Systems (CJIS) fingerprint-based background check and maintain CJIS eligibility.
Due to CJIS requirements related to system access, the following may result in being disqualified for this position:
Felony Convictions, Felony Deferred Adjudication, Class A & B Misdemeanor Deferred Adjudication, Class B Misdemeanor Convictions, an Open Arrest for Any Criminal Offense (Felony or Misdemeanor), and Family Violence Convictions.
Get Vaccinated per the CMS Mandate.
Have a medical/religious exemption.
Unvaccinated staff will need to test once a week at the employees own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
Consumer facing staff DO NOT have the option to be unvaccinated without an exemption.
If the position is not consumer facing, staff members may continue to be unvaccinated, without an exemption and test once a week at the employee's own time/expense and must wear enhanced PPE to include an N95 face mask and a face shield.
For employees who are vaccinated and consumer facing, we are continuing to require wearing an N95 mask.
For all other vaccinated employees, we are requiring a cloth, surgical or N95 mask be worn in all shared spaces.
Vaccinated employees may only go unmasked if in a single occupancy office.
Bilingual (English/Spanish) Job has no responsibility for the direction or supervision of others.
Applicable software applications Insurance claims Modern office procedures, methods and computer equipment Principles and practices of recordkeeping Principles and practices of reporting claims System databases Customer service Data entry Organization and time management Performing a variety of duties, often changing from one task to another of a different nature Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios Accurately organize and maintain paper documents and electronic files Compose spreadsheets Dispute claims Effectively communicate, both verbally and in writing Establish and maintain effective working relationships Maintain accurate and complete records Maintain the confidentiality of information and professional boundaries Meet schedules and deadlines of the work Navigate web portals Prepare clear and concise reports Understand and carry out oral and written directions Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs.
and supporting up to 55 lbs.
; bending, stooping and getting on and off the floor without assistance.
Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care.
401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance 10 hour shift 8 hour shift Have you previously worked with CHCS? (Yes/No) Please indicate the location that best interests you High school or equivalent (Required) Medical Insurance Billing & Collections:
2 years (Preferred) Clerical Medical Office, billing, scheduling, EMR:
2 years (Preferred) Driver's License (Required) Quick Apply.
Estimated Salary: $20 to $28 per hour based on qualifications.

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