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Patient Account Representative 4 – Hospital, PFS Epic Ticket Coordinator
Franciscan Missionaries of Our Lady Health SystemPatient Accounts Representative 4 coordinating with patients for timely payment and reimbursement. Involves billing, collections, and customer service functions in the Health System.
About the role
Key responsibilities & impact- Execute Business Office Operations and Functions
- Performs billing, collections, payment processing and/or customer service tasks according to documented process, applying critical thinking to determine appropriate outcomes based on the situation.
- Updates account with ownership and accountability of the entire account at that point in time; Notes should be sufficient and complete to describe current situation and next steps.
- Leverages contract knowledge and expertise to drive revenue
- Evaluates root cause and resolves issues on that specific account being worked in timely manner to maximize revenue flow, minimize write-offs and maintain customer satisfaction
- Completes most transactional updates with one interaction; completes majority of work independently including most of the complex scenarios and collaborates with other internal departments and external entities as appropriate
- Identifies patterns, trends in account issues and escalates as appropriate so root cause can be addressed and improved.
- Maintains subject matter expertise on regulations, process and policies by attending training and applying in daily work
- Consistently meets production and quality requirements for area, driving overall department objectives for A/R, Claim Counts and past dues.
- Responds to requests (from customers, co-workers, management) in a timely and professional manner.
- Assists with planning and participates in internal and external meetings as a representative of department
Requirements
What you’ll need- 8 years experience in Revenue Cycle / Hospital Business Office programs (Customer Service, Billing, Follow-up) or equivalent industry experience.
- Related certification program in areas such as billing, medical office, coding and accounting can be substituted for 1 year of experience.
- Bachelor's Degree can substitute for 4 years of experience; Associate's Degree can substitute for 2 years of experience.
- High School diploma or equivalent
- Must possess knowledge of ICD-9/10, CPT and HCPCS coding.
- Apply critical thinking and problem solving skills as it relates to resolving accounts.
- Must understand the explanation of benefits of various managed care companies and regulations.
- Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies, procedures and core values.
- Communication, interpersonal and collaboration skills.
Benefits
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Professional development
- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingcollectionspayment processingICD-9 codingICD-10 codingCPT codingHCPCS codingcritical thinkingproblem solvingrevenue cycle management
Soft Skills
customer serviceteamworkcommunicationinterpersonal skillscollaborationaccountabilitytime managementprofessionalismadaptabilityattention to detail
Certifications
billing certificationmedical office certificationcoding certificationaccounting certification