Patient Financial Services Follow Up Representative

🔥 16 minutes ago

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Prisma Health

10,000+ employees

Founded 2017

🏥 Healthcare

💰 Grant on 2024-08

Healthcare

Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site.

📋 Description

• Review prior account activity and contact payers or use payer websites to determine the status of outstanding accounts receivable • Correct claims or provide requested information to payers • Complete workflows and detailed account notes to drive collections, variances, and technical denials toward resolution • Interpret and apply managed care contract terms for payer resolution • Escalate accounts to payers, internal departments, or patients when appropriate to minimize aging • Identify trends, repeated problems, and charge corrections and report them to management • Contribute to the Patient Financial Services department matrix and assist coworkers as time allows • Monitor productivity and quality, identify root causes of quality problems, and act on improvement opportunities • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned • Two (2) years of medical billing, customer service, follow up and/or medical office experience • CRCA preferred • CRCR preferred • Communication skills • Compliance with applicable laws and regulations • Medical billing, follow up and/or medical office skills • Analytical skills • Attention to detail • Professional growth and development through seminars, workshops, in-service meetings, current literature, and professional affiliations

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