Financial Assistance Representative -- PATIENT FINANCIAL SERVICES -- Davis Medical Center

Job Summary

Financial Assistance Representative interprets and applies Mon Health financial policies to make appropriate financialdecisions and payment arrangements per financial guidelines of the organization. Provides financial education to patientsregarding their benefits and financial liability for services provided. Prepares and presents fee estimates to current andpotential patients. Demonstrates the ability to assertively pursue necessary information and to function independently tosecure financial resolution on accounts. Handles dissatisfied patients in a professional manner and works towards apositive resolution. Maintains knowledge of revenue cycle operations, third party reimbursement, local/state/federalregulations and medical terminology.

Responsibilities

Oversees Patient Accounts Through the Revenue Process
Interviews patient who is referred for financial counseling in person or via the telephone to determinefinancial counseling needs and to help formulate a plan for financial resolution. Provides customers with estimated procedure cost using CPT program files. Informs patients of hospital and clinic billing practices/policies and their rights and responsibilitiesregarding payments. Reviews completed financial statements and makes a determination based on hospital policy if thepatient qualifies for a payment arrangement and documents in the registration/billing systems. Works with specialty departments to establish appropriate financial arrangements for electiveservices. Works with patient files and refers those accounts past due to collection agency or attorney. Resolves billing questions for patients who present or call about their billing statement. Monitors daily reports to identify large dollar account balances, delinquent payment plans and privatepay patients that need resolution. Refers patients to local, state and/or federal agencies for assistance. Displays an understanding of third-party payor regulations related to managed care, denials andreimbursement issues. Maintains working knowledge of current hospital contracts with third-party payors. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters intothe registration/billing systems for service and claim processing. Collects deposits/co-payments/deductibles/patient liability payments when applicable, providespatient receipt and documents payment in the registration/billing systems. Balances daily receipts and cash drawer for patient payments, prepares and delivers deposit bag tocashier’s office. Initiates necessary paperwork to file claims to estate or litigation accounts.

Provides Service to Customers to Facilitate Efficient Processing of Hospital Accounts
Educates appropriate hospital personnel about accounting policies and procedures as necessary ina courteous and accurate manner. Monitors department performance in submitting accurate information and reports to appropriatedepartments such as Registration and Lab in a timely manner. Works with management team to develop and attain quarterly objectives. Participates in performance improvement (i.e. follows established work systems, identifies deviationsor deficiencies in standards/systems/processes and communicates problems to manager). Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information.

Coordinates Activities for the Accurate & Timely Exchange of Information
Is polite and respectful when communicating with staff, physicians, patients and families. Approaches interpersonal relations in a positive manner. Answers telephone within three (3) rings in a courteous manner, identifying self and unit at all times. Communicates in a timely manner with appropriate hospital personnel using written and verbalmeans to obtain information and solve problems.

Performs Other Duties as Required
Attends mandatory in-services, staff meetings, and actively participates in self-education. Completes all required competency assessments on time. Maintains required job knowledge (e.g. licensure and credentials, continuing education etc.). Participates in educational programs to meet mandatory requirements and identified needs withregard to job and personal growth. Performs Other Duties as Required.

Knowledge, Skills & Abilities

Light Work: Frequent lifting and/or carrying of objects weighing up to10 lbs with a maximum lifting of 25 lbs.

One year patient accounting (revenue cycle) experience required OR graduate of amedical billing & insurance or medical office administration program preferred. Must possess reading, writing andmathematical skills and the ability to understand written instruction and receive and transmit information. Knowledge ofpatient billing practices, medical terminology, patient registration, CPT and ICD-10 coding, federal, state and third-party billingregulations. Excellent interpersonal communication skills and the ability to work effectively with the public are essential inorder to maintain cooperative working relationships with staff, patients, third-party payers and outside agencies.

Education

• High School Diploma or GED (Required)

Credentials

Work Schedule: Days

Status: Full Time Regular 1.0

Location: Davis Medical Center

Location of Job: WV:Elkins:Davis Medical Center

Talent Acquisition Specialist: Mystee D. Carter mystee.carter@vandaliahealth.org