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Fairview Health Services Patient Financial Services Representative in Minneapolis, Minnesota

Overview

Provides daily management of claims processing and submission of third party claims. Performs regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution

NOTE: This is a REMOTE position. Fairview will provide equipment to include computer, keyboard, mouse, 2 monitor, but high speed internet is required to be available.

Responsibilities/Job Description

  • Performs billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submission

  • Performs charge corrections per departmental requests

  • Works directly with third party payers, internal and external customers, toward effective and efficient claims resolution

  • Responds to Customer Service inquires

  • Maintains a thorough knowledge of third party billing and collection requirements for payers assigned

  • Submits replacement, cancel, and appeal, claims to third party payers

  • Utilizes all resources available, including electronic inquiries to verify eligibility, and claim status

  • Exercises good judgement towards account resolution and documents all activity on account in clear, accurate, and consistent manner

  • Contacts patient for additional information in order to have claims processed and paid in a timely manner

  • Perform due diligence to contact patient by phone and/or sending a letter

  • Advises manager/coordinator of any billing errors, third party payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary

  • Meets departmental productivity and quality assurance standards in accordance with departmental policies

  • Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards

  • Actively participates in creating and implementing improvements

  • Performs other responsibilities as needed/assigned

Qualifications

REQUIRED

  • Three or more years experience in an office clerical setting (preference of one or more years in a hospital or clinic business office.)

Additional Skills/Abilities:

  • ICD-9 10 Coding experience helpful

  • Attention to Detail: Achieves thoroughness and accuracy when accomplishing a task

  • Computer Skills Basic: Ability to use a computer and applications that are associated with performing basic work tasks (navigate in Windows, Outlook, etc)

  • Epic experience a plus

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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 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 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.

EEO/AA Employer/Vet/Disabled All qualified applicants will receive consideration without regard to any lawfully protected status.

Job Locations US-MN-Minneapolis

Requisition Post Information* : Posted Date 3 months ago (11/27/2020 6:03 AM)

Requisition ID 2020-63383

Profession Non-Clinical Support Staff

Speciality Administrative/Clerical/Customer Service

Location Fairview offices at 400 Stinson

Shift day

Hours per 2 weeks 80

Department Payer Follow Up

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