Patient Financial Serv Rep 2
Job DescriptionAs a Patient Financial Services Representative 2, you will ensure appropriate and timely documentation of all account activity while appropriately handling all correspondences.
To help achieve our mission, you will ensure that payer response reports and rejection reports are worked timely and meet departmental productivity and quality review standards.
Taking ownership for the timely and accurate editing, submission and/or follow-up of assigned claims is of vital importance.
Processing claims for at least one payer type (e.
g.
Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.
) while ensuring all assigned claims meet clearinghouse and/or payer processing criteria is required.
Meeting departmental productivity and quality review standards while providing team management with issues regarding the claims follow-up process is expected.
Job Responsibilities Documents activity in HealthQuest and TRAC.
Takes direction from management to resolve issues.
Addresses all correspondences appropriately and within 48 hours of receipt or within customer expectations.
Ensures that all daily, weekly and monthly reports are completed and submitted timely and with minimal errors.
Meets weekly productivity and quality expectations for assigned work lists and any supervisor assigned special tasks.
Documents and reports claims submission issues immediately and provides feedback to team management regarding issues and wins.
Provides resolution for pending (WIP backlog) claims within allowable timeframes, as defined for appropriate deficiency, and/or provides appropriate account follow-up based on established protocol or SRGs.
Maintains knowledge of payer requirements, UB-04 standards and system (i.
e.
Hospital, clearinghouse, payer) functionality in addition to Hospital policies and procedures.
Additional RequirementsEducation:
High School or GED
Experience:
One year of experience.
Demonstrated ability to learn Revenue Cycle functions.
Skills:
Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Access) or equivalent software.
Demonstrated computer literacy.
Ability to think critically.
Working Keyboard skills.
Knowledge of Microsoft Word and Excel.
Working knowledge of Patient Accounting systems.
About UsInova is Northern Virginia's leading nonprofit healthcare provider.
Our mission is to provide world-class healthcare - every time, every touch - to each person in every community we have the privilege to serve.
Inova's 18,000 team members serve more than 2 million individuals annually through an integrated network of hospitals, primary and specialty care practices, emergency and urgent care centers, outpatient services and destination institutes.
Recommended Skills Accounting Systems Claim Processing Computer Keyboards Computer Literacy Curiosity Editing Estimated Salary: $20 to $28 per hour based on qualifications.
To help achieve our mission, you will ensure that payer response reports and rejection reports are worked timely and meet departmental productivity and quality review standards.
Taking ownership for the timely and accurate editing, submission and/or follow-up of assigned claims is of vital importance.
Processing claims for at least one payer type (e.
g.
Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.
) while ensuring all assigned claims meet clearinghouse and/or payer processing criteria is required.
Meeting departmental productivity and quality review standards while providing team management with issues regarding the claims follow-up process is expected.
Job Responsibilities Documents activity in HealthQuest and TRAC.
Takes direction from management to resolve issues.
Addresses all correspondences appropriately and within 48 hours of receipt or within customer expectations.
Ensures that all daily, weekly and monthly reports are completed and submitted timely and with minimal errors.
Meets weekly productivity and quality expectations for assigned work lists and any supervisor assigned special tasks.
Documents and reports claims submission issues immediately and provides feedback to team management regarding issues and wins.
Provides resolution for pending (WIP backlog) claims within allowable timeframes, as defined for appropriate deficiency, and/or provides appropriate account follow-up based on established protocol or SRGs.
Maintains knowledge of payer requirements, UB-04 standards and system (i.
e.
Hospital, clearinghouse, payer) functionality in addition to Hospital policies and procedures.
Additional RequirementsEducation:
High School or GED
Experience:
One year of experience.
Demonstrated ability to learn Revenue Cycle functions.
Skills:
Knowledge of Microsoft Office products (Word, Excel, PowerPoint, Access) or equivalent software.
Demonstrated computer literacy.
Ability to think critically.
Working Keyboard skills.
Knowledge of Microsoft Word and Excel.
Working knowledge of Patient Accounting systems.
About UsInova is Northern Virginia's leading nonprofit healthcare provider.
Our mission is to provide world-class healthcare - every time, every touch - to each person in every community we have the privilege to serve.
Inova's 18,000 team members serve more than 2 million individuals annually through an integrated network of hospitals, primary and specialty care practices, emergency and urgent care centers, outpatient services and destination institutes.
Recommended Skills Accounting Systems Claim Processing Computer Keyboards Computer Literacy Curiosity Editing Estimated Salary: $20 to $28 per hour based on qualifications.
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