This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts and/or resolving complex patient account 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.
Monitors accounts for timely follow-up and prompt resolution of overpayments following payor guidelines.
Work as a team player in day to day responsibilities.
Assists in continuously improving outstanding credit A/R while minimizing controllable loss categories (i.e. Timely filing).
Ensures incoming overpayment inquiries are processed timely.
Review and process payor correspondence timely.
Ensures that all written responses are clearly and professionally communicated.
Strong knowledge of all major healthcare payors policies/guidelines on overpayment resolution including but not limited to timely filing guidelines.
Working withpatient accounts, resolving both insurance and patient credit balance within payor guidelines.
Understanding, verifying insurance coverage, updating insurance coverage and claim submission as needed.
Reviewing payor remits to determine how to appropriately resolve overpayments.
Contacting payors as needed to allow credit resolution including attending payor operation meeting to represent payor/provider ongoing claims/payment processing concerns.
Assisting in overpayment recovery audits.
Meet work quality and productivity expectations.
Seeks process improvement/efficiencies.
Ability to work all payor overpayments to resolution.
Communicate trends and system breaks with examples and possible solutions.
Knowledge of professional and facility billing, claim processing and overpayment resolution.
Three or more years in an office clerical setting, of which one 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 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.