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Patient Financial Services Representative

Job Description

Position Summary: This position is responsible for ensuring the accuracy of information recorded regarding patient accounts, posting payments in a timely fashion, processing and reconciling reports as necessary, and being a point of contact between Northland Health Centers and outside revenue management agencies.


Position Responsibilities:
The following information is intended to be representative of the essential functions performed by incumbents in this position and is not all-inclusive.

1. Transmit an explanation of benefits and payment information to the revenue management agency for review and entry. 
2. Verifies eligibility, and acquires referrals as appropriate.
3. Responsible for adding Sliding Fee Scale information to patient charts and applying SFS adjustments as needed.
4. Complete entry of payments and write-offs in a timely manner.  All entries must be posted to patient accounts to reflect up-to-date and accurate records on patient accounts.  Processes refunds/adjustments as needed.
5. Answer patient inquiries regarding their account status as well as communicating with third-party payors and other authorized personnel providing billing and patient account information.
6. Assist in adding insurance carriers to the computer system as needed.
7. Assist with provider insurance credentialing activities as needed.
8. Responsible for calling patients to collect on outstanding balances and attempt to set up payment plans.  If unsuccessful, then responsible for turning over to collections agency and reconciling collection accounts.
9. Educate yourself on the practices of payors, federally qualified health centers, and others as necessary.
10. Review and research bad address files.
11. Assist NCHC personnel when needed as time permits.
12. Assist with reports to maintain federal funding as requested. 
13. Assist with updating policies, procedures, and forms as needed.
14. Participate in staff meetings and other meetings as instructed. 
15. Maintain confidentiality within the workplace and within the community.
16. Handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
17. Adhere to the Mission and Values of NHC.
18. May be asked to perform other duties that align with NHC’s mission, including but not limited to participation on clinical committees, providing education, Quality Review, and/or other activities. 

Position Requirements:
1. Excellent communication skills
2. Attention to detail
3. Computer knowledge
4. Medical Terminology

Minimum Requirements:
1. Ability to perform each position responsibility satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position. 
2. Ability to understand that safety is a condition of employment. Unsafe acts or conditions will be reported to the supervisor or Site Coordinator.
3. Must be able to read, write, and speak English.

Education and/or Experience:
• High School diploma or equivalent.

License and/or Certification:

• Valid North Dakota Driver’s License

• Current Immunization Records

• Current PPD


Special Requirements:

• Must be willing to travel between NHC health centers.
• Must be willing to work evening hours and weekends if necessary.


Appearance Standards: This position shall follow the appearance standards as outlined in the NHC Personnel Appearance Policy.

While performing the duties of this position, the employee is exposed to weather conditions prevalent at the time. The employee may experience exposure to dust, pollens, pollutants, fumes, and communicable diseases as related to the healthcare environment. The noise level in the work environment is usually moderate.