This position is responsible for supporting management in billing and collecting patient accounts associated with inpatient and outpatient facility services, as well as professional services.
Responsibilities/Job Description
Basic understanding of Revenue Cycle, and the importance of evaluating all appropriate financial resources to assist in securing patient accounts to maximize reimbursement for the healthcare system.
Demonstrate billing and collection proficiency of, at least, one specific insurance payer.
Responsible for evaluating and processing correspondences including claim rejections, medical record(s) requests, itemized bills, invoice clarifications, etc.
Analyze insurance claims for accuracy of payments and rejections, as well as properly account for all payments and adjustments.
Monitor accounts for timely follow-up and prompt resolution.
Assist in continuous improvement of accounts receivable while minimizing controllable loss categories, e.g., timely filing.
Assist customers with billing questions and ensure appropriate resolution.
Explain and interpret insurance eligibility rules, guidelines and regulations.
Stay informed of updates to regulatory changes.
Attend periodic meetings regarding various insurance payers to discuss denials, claims processing and other discrepancies, and assist in developing action plans to correct evaluated issues.
Qualifications
High School Diploma or GED
Required Experience:
One or more years of experience in an office clerical setting (Prefer at least 1 year in a hospital or clinic billing office).
Other Qualifications:
Billing experience
Basic computer use - Typing, printing, Email, Instant Messenger, 10-Key
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.
