Patient Financial Services Representative

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Reviews incoming mail daily for any denials, requests for records, etc. and processes appropriately.

  2. Resolves claim edits and works claim queues in Revenue Manager in a timely manner.

  3. Works to resolve issues in work queues in Revenue Cycle in a timely manner.

  4. Collaborates with Patient Financial Services Clerk as well as General Accounting in reviewing Remittance Advices for accuracy of posting.

  5. Performs Credit Balance analysis and processes refund requests as needed

  6. Completes insurance follow up on accounts when needed.

  7. Communicates with ancillary departments when assistance is needed to resolve charge or documentation issues in order to submit claims.

  8. Generates and sends letters or supporting documentation to payers as needed to validate timely filing.

  9. Researches and logs service requests to EHR vendor to resolve system issues.

  10. 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.

  11. Enters appropriate comments on patient accounts in EHR.

  12. Attends continued education webinars and meetings.

  13. Attends other meetings as required or requested.

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.
Company Description:

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Milton Johnson serves as Chairman and Chief Executive Officer of HCA.

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