Rehabilitation Institute of Chicago Patient Financial Services Representative - Patient Financial Services, Full-time in Chicago, Illinois
class="cssDspJobTitle">Patient Financial Services Representative - Patient Financial Services, Full-time
General SummaryPatient Financial Services Representative is responsible for answering patient, guarantor, and/or insurance carrier questions pertaining to either an individual invoice or account. Performs and coordinates work requiring a knowledge of policies and procedures for multiple third party payors including third party provider profile reimbursements, appropriate use of CPT IV and Revenue codes and knowledge of federal Medicare regulations regarding covered and non-covered codes.Consistently demonstrates support of the RIC statement of Mission and Philosophy by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.Demonstrates RIC Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and RIC Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.Principal Responsibilities1. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and resolves past-due accounts. Uses knowledge and collection techniques to provide accelerated accounts receivable recovery and effectively collect or resolve patient accounts.2. Reviews accounts for submission to third party payors and receivables; initiates transfers, cancellations, audit adjustments and verification of charges to patient accounts; and reviews all accounts as assigned3. Contacts patients including answering inquiries by telephone, mail, or regular mail and informs them of outstanding balances on their accounts and arranges for payment of balances owed while maintaining a positive customer service approach. Advises patients of financial options available within the community. Negotiates and establishes payment plans.4. Researches and responds to patient and payor questions pertaining to either an individual invoice or account utilizing Cerner, Meditech, Fortis & NEBO systems, to obtain the information necessary to answer questions.5. Follows HIPPA guidelines documents and maintains records in patient accounting files requiring on-line functions in the Patient Accounting and Registration systems including updating patient demographic information and initiation of account adjustments.6. Duties involve the use of information systems, Cerner and Meditech, computer terminals, and a variety of software and/or conventional office equipment.7. Responds to inquiries within a timely manner and provide proactive and regular updates to management on all areas of concern or improvement.Reporting RelationshipsManager, Patient Financial ServicesKnowledge, Skills & Abilities Required1. Associates Degree in Business Administration, or related field or in lieu of degree, two years of proven Customer Relations experience in an insurance or health care organization required.2. Two years of experience in a similar job in an insurance or healthcare organization required.3. Exceptional human relations/customer service skills and a high degree of diplomacy and tact necessary. Must have the ability to deal with a variety of people under stressful circumstances. Must be able to work as a member of a team.4. Strong analytical and organizational skills.5. Excellent verbal and written skills as well as the ability to manage many details that may pertain to one issue.6. Previous experience with Meditech or Cerner/Profit systems preferred.Working ConditionsNormal office environment with little or no exposure to dust or extreme temperature.The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Job Grade- 07
Chicago, Illinois, United States