Fairview Health Services

Patient Account Specialist - WI

Job Locations US-WI-River Falls
Requisition Post Information* : Posted Date 1 month ago(11/3/2020 12:52 PM)
Requisition ID
2020-63618
Profession
Non-Clinical Support Staff
Speciality
Administrative/Clerical/Customer Service
Location
Fairview Vibrant Clinics-River Falls, WI
Shift
day
Hours per 2 weeks
80
Department
Administration

Overview

M Health Fairview has an opening for a Patient Account Specialist at the Vibrant Clinic located in River Falls, Wisconsin. The primary purpose of this position is to monitor assigned insurance carrier accounts for accuracy, and to ensure prompt payments for services rendered. Follow up on patient accounts with overdue balances via telephone and /or correspondence.

 

This is a 1.0 FTE (80 hours per two week pay period), benefits-eligible opening located at M Health Fairview's Vibrant Clinic located River Falls, WI.

Responsibilities/Job Description

  • Maintains all required and appropriate records and tracking systems for all assigned insurance carrier accounts.
  • Monitors aging and account reports to assure prompt payments on accounts are being paid from insurance carriers and patients under the terms of the fee schedule or contract
  • Contacts customers with delinquent accounts via telephone and/or correspondence as required reviewing status of their account or obtaining missing account information
  • Reviews and files electronic or paper claims with appropriate insurance carriers in a manner which ensures accurate information and coding on claims and that claims are filed in a timely manner.
  • Work Revenue Manager Que on assigned insurance claims.
  • Review EOBs and followings up on secondary claims.
  • Posts zero remits and electronic remits as assigned.
  • Processes adjustments to patient’s accounts, such as co-payments, deductibles, payments, denials, discounts, etc. in a manner, which ensures that accurate and up-to-date information is in place.
  • Refiles claims to insurance carriers for unpaid charges and provides additional information when required.
  • Refunds insurance and/or patient credit balances.
  • Pre-registers new patient insurance information and verifies eligibility and benefits.
  • Updates inaccurate information on accounts.
  • Assists patients with questions concerning processing of claims, collections, credit information and payment plans.
  • Assists insurance carriers with questions concerning processing of claims and/or account information.
  • Processes mail returns through Apex.
  • Prepares delinquent accounts with required information and routes to Business Office Manager/Administrator for review and approval prior to sending account to third party collection agency.
  • Updates third party collection agency with new information on delinquent accounts.
  • Maintains confidentiality of all information acquired through employment with the Clinic, including patient's medical records and Clinic business information.
  • Establishes and maintains positive working relations and open communication with customers, Health Care Providers, internal personnel, as well as personnel from other facilities.
  • Establishes and maintains positive working relationships and open communication with customers and all members of the Health Care Home team.
  • Assists in Quality related activities regarding operational efficiency and in accordance with the clinics Quality Program

Qualifications

High School graduate required.

 

Preferred:

Some post-secondary education/training

Two years experience in health care billing or collections in a clinic setting (preferred)

Ability to work independently with minimal instruction, in a team environment

Computer, knowledge of medical terminology, basic knowledge of accounting/bookkeeping practices, collections, and health care insurance

Good interpersonal and communication skills.

 

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