Patient Financial Services Representative

Description

Basic Function: Coordinates the organization’s efforts to assist patients in enrolling in appropriate financial and social plans/programs and follows up on non-payment of patient accounts. Maintain the PFS schedule and participate in peer audits for slide applications. 

Essential Functions:

1. Meets with all patients (or their responsible party) not enrolled in an insurance or AHCCCS plan and reviews their financial status to determine if they are eligible for medical financial aid and/or other social or pharmaceutical programs. Assists patient with Insurance Market Place.
2. Maintain CAC certification.
3. Enrolls eligible patients into the sliding fee scale program and Kids Care and requalifies them yearly.
4. Generates letters and phone calls as governed by the Center’s financial policy and state/federal regulation to encourage the patient or their responsible party to fulfill their financial commitments to the Center.
5. Codes OH charges; reflecting correct charges are billed to employer.
6. Assists at front reception desk as needed.
7. Complies with CHC Standards of Conduct, Code of Conduct and Corporate Compliance.

Secondary Functions:

1. Reviews and researches all returned mail.
2. Submits periodic reports to the Customer Service Coordinator on numbers of contacts successfully made and number enrolled on public assistance CHC financial aid program.
3. Understands role in Disaster Plan and that safety is a condition of employment.
4. Follows CHC’s policies and procedures.
5. Serves on various CHC and community committees as required/requested. 
6. Attends meetings, seminars, and conferences as appropriate to ensure skills and knowledge remains current.
7. Other duties as assigned

Requirements

Minimum Qualifications:

1. Ability to perform each essential function duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
2. High School Diploma or equivalency.
3. Experience in professional public contact.
4. Knowledge of medical and social programs.
5. Directly related experience.
6. Possess a valid driver’s license. 
7. Ability to read, write and speak English. 
8. Good interpersonal and human relations skills are required. Must possess skills to empathize and care for a variety of patients, including low-income and diverse cultures and treat everyone (internal and external customers) with respect and dignity.
9. Ability to maintain confidentiality at all times in all situations and follow the laws and intent of the most current HIPAA laws and regulations and Canyonlands’ security and privacy policies.

Preferred Qualifications:

1. One (1) plus year of directly related experience.
2. Experience in billing and collections helpful.
3. Bi-lingual (English/Spanish/Navajo) language skills.
4. Knowledge of Microsoft programs with the ability to effectively communicate using Outlook.

Appearance Standards:

This position shall follow the appearance standards as outlined in Canyonlands’ Personnel Policy “Personal Appearance”.

Physical Requirements:

Not applicable: Activity does not apply to this position

Occasionally: Position requires this activity up to 33% of the time (0-2.5 hrs per day)

Frequently: Position requires this activity from 33%-66% of the time (2.5-5.5 hrs)

Constantly: Position requires this activity more than 66% of the time (5.5 hrs +)

Stand - Frequently

Vision - near - Constantly

Vision – w/assistance - Constantly

Walk - Occasionally

Sit - Constantly

Handling - Constantly

Reach outward - Frequently

Reach above shoulder - Frequently

Climb - Not applicable

Crawl - Not applicable

Squat/kneel - Occasionally

Bend - Occasionally

Lift/Carry

10 lbs or less - Occasionally

11-20 lbs - Occasionally

21-50 lbs - Occasionally

51-100 lbs - Occasionally

Over 100 lbs - Not applicable

Push/Pull

12 lbs or less - Occasionally

13-25 lbs - Occasionally

26-40 lbs - Occasionally

41-100 lbs - Not applicable

OSHA CATEGORY CLASSIFICATION:

I understand that the duties that are required of me place me in a Category II.

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 health care environment. The noise level in the work environment is usually moderate.

Travel is required. It is anticipated that travel will be: 10% – 25%

Canyonlands requires all staff to be vaccinated for Flu, Hep B, MMR, Tdap, Covid-19, and Varicella. 

New employees must be screened for Tuberculosis.