This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving complex customer service issues. Understands the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the health system.
Contact for PFS Representatives 1 regarding questions/account issue resolution. Mentors and trains staff in the PFS Representative 1 position.Maintains the best practice routine per department guidelines.
Demonstrate proficiency in billing and/or collection of multiple payers billing and collection practices.
Responsible for the analysis and processing of correspondence including rejections, requests for medical records, itemized bills, clarification of detail on bill, etc. Analyze paid claims for accuracy of payments and or rejections and properly account for payment and adjustments.
Monitors accounts for timely follow-up and prompt resolution of denials or other complex account resolution.
Assists in continuously improving the aging of receivables while minimizing controllable loss categories (i.e. Timely filing).
Ensures that incoming call volumes are processed expeditiously.
Ensures that incoming correspondence is processed expeditiously.
Ensures that all written responses are clearly and professionally communicated.
Notifies patient and/or guarantor of co-pays/deductible/coinsurance
Verifies insurance benefits to maximize reimbursement.
Three or more years in an office clerical setting, of which 1 year should be in a hospital or clinic business office
Two or more years in a hospital or clinic business office
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 netwo...rk 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.