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Become A Patient Finance Representative

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Working As A Patient Finance Representative

  • Documenting/Recording Information
  • Performing for or Working Directly with the Public
  • Getting Information
  • Assisting and Caring for Others
  • Establishing and Maintaining Interpersonal Relationships
  • Deal with People

  • Unpleasant/Angry People

  • $37,190

    Average Salary

What Does A Patient Finance Representative Do At Wellspan Health

* Is responsible for the electronic or manual billing and maintenance of patient accounts.
* Performs a variety of functions including, but not limited to, account follow-up, answering inquiries, resolving problems and interacting with third party payers and patients to achieve payment of accounts in accordance with current government and payer regulations.
* Duties and Responsibilities:
* The following are essential job accountabilities:
* Ensures accurate financial and biographical information has been obtained and properly entered into the appropriate records.
* Performs various functions to complete and expedite the billing process including, but not limited to, recording patient identification data and physician diagnosis, investigating charges, correcting and updating data, preparing the claim to bill, and updating computer functions.
* Bills to third party payers via electronic or manual processes.
* Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care.
* Reviews accounts and maintains contact with third parties to ensure timely payments.
* Makes written and/or verbal inquiries to third party payers to reconcile patient accounts.
* Follows up accounts until zero balance or turned over for collection.
* Reviews third party payer payments and investigates accounts not paid as expected.
* Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances.
* Answers all inquiries regarding patient accounts.
* Interprets and explains to patients and their families charges, services, and hospital policy regarding payment of bills.
* Resolves billing problems and/or receives insurance updates.
* Processes and distributes copies of billings as required.
* Researches credit balance accounts.
* Refunds overpayments to patient, guarantor or third party payer.
* Receives and processes incoming charges.
* Enters data into mainframes, PC's and/or microcomputers.
* Reconciles daily cash and verifies account balances.
* Reconciles electronic payments and computer generated reports.
* Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
* Prepares and maintains records of patient charges.
* Maintains appropriate records, reports, and files as required.
* Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
* Participates in educational programs and inservice meetings.
* Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
* Required Skills
* Minimum Experience
* months HMO Billing experience
* Months Medical Assistance Experience
* Interpersonal/communications skills
* ICD9 and CPT coding
* Insurance knowledge
* Computer skills
* Customer service skills
* Minimum Education
* High School or G
* E.D.
* Job Location
* York, Pennsylvania, United States
* Position Type
* Full
* Time/Regular
* Schedule
* Days
* Additional Scheduling Info
* N/A
* Additional Requirements

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How To Become A Patient Finance Representative

Customer service representatives typically need a high school diploma and receive on-the-job training to learn the specific skills needed for the job. They should be good at communicating and interacting with people and have some experience using computers.

Education

Customer service representatives typically need a high school diploma.

Training

Customer service representatives usually receive short-term on-the-job training, lasting 2 to 3 weeks. Those who work in finance and insurance may need several months of training to learn more complicated financial regulations.

General customer-service training may focus on procedures for answering questions, information about a company’s products and services, and computer and telephone use. Trainees often work under the guidance of an experienced worker for the first few weeks of employment.

In certain industries, such as finance and insurance, customer service representatives must remain current with changing regulations.

Licenses, Certifications, and Registrations

Customer service representatives who provide information about finance and insurance may need a state license. Although licensing requirements vary by state, they usually include passing a written exam. Some employers and organizations may provide training for these exams.

Important Qualities

Communication skills. Customer service representatives must be able to provide information in writing, by phone, or in person so that customers can understand them.

Customer-service skills. Representatives help companies retain customers by answering their questions and complaints in a helpful and professional manner.

Interpersonal skills. Representatives should be able to create positive interactions with customers.

Listening skills. Representatives must listen carefully and understand a customer’s situation in order to assist them.

Patience. Representatives should be patient and polite, especially when interacting with dissatisfied customers.

Problem-solving skills. Representatives must determine solutions to a customer’s problem. By resolving issues effectively, representatives contribute to customer loyalty and retention.

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Patient Finance Representative jobs

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Patient Finance Representative Demographics

Gender

  • Female

    88.1%
  • Male

    10.8%
  • Unknown

    1.1%

Ethnicity

  • White

    75.5%
  • Hispanic or Latino

    16.1%
  • Asian

    6.1%
  • Unknown

    1.6%
  • Black or African American

    0.6%
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Languages Spoken

  • Spanish

    84.4%
  • Chinese

    2.2%
  • German

    2.2%
  • French

    2.2%
  • Carrier

    2.2%
  • Bengali

    2.2%
  • Tagalog

    2.2%
  • Italian

    2.2%
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Patient Finance Representative

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Patient Finance Representative Education

Patient Finance Representative

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Top Skills for A Patient Finance Representative

CustomerServicePatientAccountsFinancialAssistanceMedicalServicesMedicaidEmergencyRoomInsuranceInformationDataEntryMedicalRecordsInsuranceVerificationInsuranceBenefitsPaymentPlansEOBCPTInsuranceCoverageInsuranceClaimsIcd-9PatientPaymentsA/RInsurancePayments

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Top Patient Finance Representative Skills

  1. Customer Service
  2. Patient Accounts
  3. Financial Assistance
You can check out examples of real life uses of top skills on resumes here:
  • Provided excellent customer service from point of entry to destination in a timely, accurate, courteous and professional manner.
  • Posted charges and coded patient accounts for correct (payable) billing.
  • Request payments when appropriate establish acceptable payment plans and make an initial assessment for financial assistance when indicated.
  • Implemented regulations, policies and procedures pertaining to financial determination and patient's ability to pay for medical services.
  • Benefit Analysts for patient applications process for Medicaid and Medicare applicants.

Top Patient Finance Representative Employers

Patient Finance Representative Videos

Patient Financial Communciations Training Program

Day In The Life – Intern

A Day in the Life of a Financial Advisor

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