Patient Finance Representative

This Patient Finance Representative will be responsible for:

  • Managing daily assignments using standardized protocols and work queues to ensure timely completion of financial clearance in accordance with departmental processes and payer guidelines.
  • Collecting, verifying, and recording all demographic information required for patient financial clearance in accordance with hospital policy.
  • Verifying insurance eligibility using available technologies, payer websites, or by phone contact with third party payers. Working in accordance with required State and Federal regulations and hospital policies.
  • Ensuring that the correct insurance company name, address, plan, and filing order are recorded in the patient accounting system.
  • Utilizing payer exception reports to update coverage / PCP information.
  • Contacting PCP (primary care physician) offices to secure referrals and enter referrals into patient accounting system.
  • Documenting all actions taken on accounts with clear and concise account notes.
  • Participating in process improvement activities.

To qualify, you must have:

  • High School degree/GED is preferred
  • An understanding of Microsoft Office and Experience with Epic registration system a plus
  • The ability to communicate effectively in English both orally and in writing
  • Good customer service skills and a basic understanding of computer systems are required. Familiarity with basic medical terminology is preferred.
  • The ability to resolve moderately complex problems requiring the use of basic scientific, mathematical, or technical principles
  • The ability to work as part of a team with diverse internal and external constituencies
  • Effective organizational skills and the ability to work in a fast-paced environment to ensure completion of assignments within established timeframes
  • Attention to detail and completion of tasks with accuracy
  • Full time remote, excludes CA.