Patient Financial Services Job Description
Patient financial services
provides direction and support to FCC staff with interpreting and understanding payor medical coverage policies to drive meaningful discussions with payors regarding insurance verification request and/or continuity of care needs.
Patient Financial Services Duties & Responsibilities
To write an effective patient financial services job description, begin by listing detailed duties, responsibilities and expectations. We have included patient financial services job description templates that you can modify and use.
Sample responsibilities for this position include:
Handling patient accounting
Managing outstanding balances
Patient accounting
Managing outstanding accounts
Managing anything outstanding
Managing outstanding bills
Design and develop Patient Financial Services training and process educational content for Hospital Billing professionals
Exhibits experience with invoices, billing software and updates of database to financial records
Ability to create/develop/edit compelling and practical patient financial services courseware in a style that will lead to successful adoption and knowledge transfer in an online environment
Have extensive experience in maintaining and managing a successful hospital based revenue cycle program
Patient Financial Services Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Patient Financial Services
List any licenses or certifications required by the position: FEMA, CPAR, CCS, HBI, RHIT, RHIA, CCDS, CPC, HFMA, CPR
Education for Patient Financial Services
Typically a job would require a certain level of education.
Employers hiring for the patient financial services job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Business, Accounting, Education, Associates, Finance, Business/Administration, Healthcare, Business/Management, Financial Services, Medical Terminology
Skills for Patient Financial Services
Desired skills for patient financial services include:
Medical terminology
CPT
Medical terminology and insurance terminology
Patient access financial counseling functions in both acute and non-acute settings
Computer software
Contract reimbursement
Third party payors and insurance verification
EPIC
HCPCS
Hospital Information/Enterprise Systems
Desired experience for patient financial services includes:
Have experience providing 1-on-1 and group education to patient financials services professionals, and understanding the unique approaches required to reach them
Strong plus if candidate has an aptitude for writing, and editing content
2+ years of educational courseware/curriculum development experience
Extensive experience in management of revenue cycle and hospital finance/billing a strong plus
Prepare distribution memos for closing each month
Review purchases as transaction approver through MyFD
Patient Financial Services Examples
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Patient Financial Services Job Description
Job Description Example
Our company is growing rapidly and is looking for a patient financial services. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient financial services
- Procard holder- purchase office supplies and materials
- CTA card holder- schedule doctor meetings, luncheons, flights/lodging per necessity
- Review and pay statements for private couriers
- Create expense reports for reimbursement through Ariba
- Ensures the organizations Financial Assistance Program is compliant to all eighty eight (88) Internal Revenue Service’s (IRS) 501 R guidelines
- Ensures all departments are compliant by auditing and reporting variances to management
- Maintain Soarian, LDA, and SMS worklists to ensure all patients
- Perform prescreening interviews for potential applicants over the phone
- Verify Health Care Connections (HCC) coverage and other insurances prior to adjusting accounts within Soarian, SMS, and LDA
- Manages the monthly close and reconciliation of the billing system and provides A/R summary updates at monthly close meetings
Qualifications for patient financial services
- Strong educator/speaker capable of conducting remote webinar or on-site educational sessions, when needed
- 5+ years of Healthcare management, such as but not limited to, accounts receivable and payable, clinic or patient management, and marketing/public relations
- Demonstrated skills in computer data entry and worksheets
- One year experience in Patient Accounting with cash application experience preferred
- Develops action plans to implement goals and evaluates outcomes on a quarterly basis
- Manages and develops a results oriented team, including senior manager, manager and supervisor levels
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Patient Financial Services Job Description
Job Description Example
Our growing company is looking to fill the role of patient financial services. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient financial services
- Hires, trains, evaluates, disciplines and discharges, as needed, managerial and supervisory personnel
- As part of the team, act as liaison with the Billing Managers to facilitate reports, prioritize issues and communicate changes
- Support staff by resolving assigned tickets and communicating issues resolution to all PFS employee
- Assist in developing Soarian Financial Revenue Management system functionality
- Develops documentation to be used to ensure exposure to new or revised system functionality
- Maintain assigned master files, and document changes in the approved change control procedure
- Summarizes results from assignments for administrative review
- Other duties as assigned based on new initiatives and/or areas requiring focused effort
- PFS CBO representatives are responsible for accurate billing of services rendered, timely and accurate collection of expected reimbursement
- Inform designated CRM AVP of any significant issues in the Patient Access areas (e.g., Pre-registration delays, unbilled challenges, pre-authorization backlogs)
Qualifications for patient financial services
- Willingness to work as a team in the areas of thought leadership, curricula design, and media applications
- Experience with the ICD-10 clinical and administrative transition is a requirement
- Ability to work across multifunctional areas manage varying priorities
- Two year college degree desirable
- Two years of experience in Patient Financial Services area including hospital and physician reimbursement understanding
- Strong knowledge of Soarian Revenue Management preferred
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Patient Financial Services Job Description
Job Description Example
Our growing company is looking to fill the role of patient financial services. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient financial services
- Managing any outstanding debts
- Supervise claims inventory/workflow through claim life cycle
- Educate team to ensure timely and accurate claims processing
- Track problems and/or issues from identification to resolution
- Take responsibility for positively influencing the morale of the staff, including motivation and recognition of employees who consistently achieve outstanding results
- Handle customer escalations and ensure appropriate follow-up with customers
- Develop and maintain understanding of all software involved in the claim payment process
- Clerical duties such as answering phones, taking messages, assisting with mail
- Reviewing insurance and billing information
- Assisting patients with billing information and processes
Qualifications for patient financial services
- The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions
- The Employee is not substantially exposed to adverse environmental conditions and therefore job functions are typically performed under conditions such as those found in general office or administrative work
- Basic knowledge of all aspects of UB 04 and CMS 1500 fields and requirements
- Basic knowledge of standard billing codes
- Basic knowledge of state and federal insurance regulations
- Detail oriented with organizational skills which involve the ability to prioritize and manage workflow, to produce high quality work, to work independently with minimal supervision and use good judgment
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Patient Financial Services Job Description
Job Description Example
Our company is looking to fill the role of patient financial services. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient financial services
- Serves as escalation point for the client and revenue cycle operations team
- Build a roadmap for revenue cycle strategy to maximize financial and operational results
- Develop service delivery strategy and model to support client operations
- Implement the appropriate business office structure to integrate and successfully onboard new practices
- Ensure efficient & effective standardized practices across ambulatory workflows and processes
- Develop and maintain an effective client relationship and serve as the primary on-site contact for all ambulatory revenue cycle client-based activities
- Assess and troubleshoot issues and work toward resolution, understanding when to escalate issues to ensure timely resolution
- Optimize payer collections
- Accountable for the performance of all assigned locations to meet standard metrics that align with MGMA, HFMA and/or other defined SLAs/measurements
- Creates environment of high associate satisfaction
Qualifications for patient financial services
- Proficient computer skills in Excel, MS Word, Access
- Bachelor’s degree in an applicable field such as Business Administration, Information Systems, or Health Care Administration
- Four years experience in hospital clinical systems, preferable Pro Fee Business Services
- Three years of system analysis experience in a clinical environment
- Strong understanding of accounting principals and the ability to create clear concise documentation when identifying problems and writing improvement procedures
- Previous experience interacting with technical staff, clinical staff, and management personnel
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Patient Financial Services Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of patient financial services. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient financial services
- Manages a majority of situations independently, escalating for complex situations
- Able to execute planning without assistance
- Prepares and presents monthly revenue cycle results with the corporate AHPS leadership team
- Manage staff to successfully achieve financial performance targets, , revenue performance and critical indicators (AR, % cash to revenue, % bad debt, complaints)
- Work with the Managed Care Department and third-party payors to ensure payment accuracy
- Routinely monitor AR reports to ensure timely and accurate billing
- Manage and develop the department’s personnel
- Ensures compliant, accurate, timely, and efficient processes for staff in accordance with regulatory and contractual requirements
- Keeps abreast of changes in the healthcare financial arena (technological, governmental, contractual, ) in order to communicate those change and develop appropriate operational controls and processes to accommodate them
- Develops, implements, and evaluates performance indicators for RRC staff, management, and vendor partners
Qualifications for patient financial services
- The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar and should possess visual acuity
- Strong PC skills with current standard Windows applications with a excellent
- Knowledge and advanced skills in Excel, GE software applications (TES, BAR, ETM, ), Optum Claim Intergrity Tool and SQL programming language
- A minimum of two (2) years analysis or operations experience
- Competent in systems utilization
- Bachelor's degree or equivalent class work required