Foundation Health

Senior Patient Financial Service Rep (CBO) - Sports Medicine

Job Locations US-AK-Fairbanks
Posted Date 1 week ago(2/15/2018 1:14 PM)
Job ID
2018-2857
Category
Administrative/Clerical
Facility Name
Tanana Valley Clinic
Position Type
FA: Full Time
Shift
Days
New Grad
No

Overview

The purpose of this position is to coordinate and facilitate patient billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, ensuring reimbursement to the facility. Provides leadership to the patient financial services team, participating in the selection and training of staff members. This position serves as a primary resource in complex and/or sensitive cases and may be assigned to work in any position in the department based on the departmental need.

 

About Tanana Valley Clinic - Sports Medicine

The Sports Medicine Fairbanks Clinic is joining the Tanana Valley Clinic (TVC) team as part of Foundation Health Partners. This recent transition, will help expand the available services provided by Sports Medicine, and grow the medical services for the people of the Interior of Alaska. 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 60-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, Monday-Friday, 8:00 am - 5:00 am. 

Responsibilities

ESSENTIAL FUNCTIONS

  1. Provides leadership and training to Patient Financial Services Representatives. Provides leadership for the team by successfully leading special projects, training staff, providing suggestions to improve processes and serving as a resource for complex and sensitive accounts. 
  1. As assigned, processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 
  1. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. 
  1. As assigned, researches payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 
  1. Builds strong working relationships with assigned business units, hospital departments or provider offices.Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 
  1. Responds to incoming calls and makes outbound calls as required to resolve billing and payment issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 
  1. Reduces Accounts Receivable balances. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. 
  1. Uses systems to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 

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.

Qualifications

MINIMUM QUALIFICATIONS

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 two or more years of work experience. Requires knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. 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.

 

PREFERRED QUALIFICATIONS

Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. May have related experience with financial institution or background.

 

PHYSICAL DEMANDS/ENVIRONMENT FACTORS

OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)

  • Requires extensive sitting with periodic standing and walking.
  • May be required to lift up to 20 pounds.
  • Requires significant use of personal computer, phone and general office equipment.
  • Needs adequate visual acuity, ability to grasp and handle objects.
  • Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.
  • May require off-site travel

 

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

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