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.
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 patients 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
High School graduate required.
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
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.