Patient Financial Representative

4 weeks ago

Bengaluru Karnataka, India Crest Premier Staffing Full time

**Qualifications**
- High School Diploma, GED or equivalent required
- Must have or be able to acquire and retain good knowledge of commercial, federal and state payer requirements
- Needs good telephone voice and skill in handling business transactions, including irate patients
- Ability to work with computerized system, also basic clerical and interpersonal skills and typing at 40 wpm
- Ability to read, understand and follow oral and written instructions
- Computer skills, including but not limited to Microsoft Word and Excel
- Excellent organizational, time management, and customer service skills

**Responsibilities**
- In an environment of continuous quality improvement, the Patient Financial Representative performs patient accounting related duties at the professional and primarily independent level
- This position may carry out responsibilities in some or all of the following functional areas: billing, collections, credits, and customer service
- Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times
- Follows ethical billing practices
- Exhibits exceptional customer service skills, utilizing AIDET
- Maintains compliance with patient accounting policies and procedures
- Completes special projects as assigned
- Maintains a comprehensive awareness of all insurance company updates including Federal and State guidelines
- Assumes all other duties and responsibilities as necessary
- Conducts detailed discussions with patients and obtains information to provide to billers, Patient Financial Advocates, and all other appropriate departments to assist patients with multiple needs
- Uses patient information and hospital guidelines to calculate and establish payment plans
- If necessary, calculates patient’s remaining balances, using hospital guidelines to discuss and finalize the method of resolving patient’s balances through payment plans or other arrangements
- When necessary, calls patients with outstanding balances to review account information, examine patient’s eligibility for financial assistance, secure payment arrangements or settle in full
- Maintains knowledge of requirements and guidelines for hospital-sponsored charity care, as well as the availability of financial assistance from external sources
- Prepares and submits all refund requests to the insurance companies as well as self pay refunds to patients
- Follow up with third party payers (Medicare, Medicaid, Blue Cross, Worker’s Compensation, and Commercial Payers) until account is resolved by recoupment on an electronic remit or a check request from accounting
- Answers inquiries from patients, guarantors, patient’s families, attorneys and third party payers about refund procedures and resolves any problems
- Completes assigned daily, weekly and monthly reports
- Assist walk in customers and callers with billing, financial assistance and processing payments
- Reviews account processing as needed to assist the patient to understand the remaining patient responsibility
- Manage daily cash drawer, reconciliation and deposits
- Manages deposits for multiple locations
- Works with case management to secure patient valuables
- Sort and distribute team mail
- All other duties as assigned

Work Location: In person

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