The Patient Financial Services Representativecoordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner.
About Tanana Valley Clinic
Tanana Valley Clinic (TVC) has provided state-of-the-art medical services to the Fairbanks Community and Interior Alaska for over 50 years. TVC is a 73-provider multi-specialty group. We have an excellent group of physicians and clinical staff, many of whom have been at TVC for 20+ years, as a testament to our friendly work environment. Our passionate staff seek to make TVC the Medical Home for the people of the Interior of Alaska.
Position Available Full-Time 8am to 5:00 pm; Monday - Friday
Performs pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patients insurance plan.
Calculates patient liability according to verification of insurance benefits, collects deposits and copayments.
Provides financial counseling to patients and their families. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate.
Acts as a liaison between the patient, the billing department and the payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
As assigned, conducts patient visits for bedside registration to expedite the completion of the patient registration.
Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patients needs in financial services.
Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs and records. Identifies opportunities to improve work processes and practices good work group dynamics.
Provides a variety of patient services and financial services tasks. May be assigned to functions such as transporting patients, provide training for new staff, collecting and releases patient valuables in accordance with company policies, posting daily deposits, or conducting other work assignments of the Patient Financial
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The essential functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager.
SCOPE AND COMPLEXITY
Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patients care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors.
High school diploma/GED or equivalent working knowledge.
Requires knowledge of patient financial services, or financial collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required
Work experience with the Companys systems and processes is preferred. Previous cash collections experience is preferred.
Additional related education and/or experience preferred.