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Patient Accounts Representative - PFS Collections
SIOUX FALLS SD 57117
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-90664617

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Sanford Health

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
Patient Accounts Representative - PFS Collections
**Job Title:** Patient Accounts Representative PFS Collections Sioux Falls


**City:** Sioux Falls


**State:** South Dakota


**Department** **:** PFS Collections


**Job Schedule:** Full Time


**Shift:** Days


**Hours Per Shift:** 8 hr


**JOB SUMMARY**


Performs a variety of office/clerical accounting functions for the health care facility including claims processing, proper accounting for facility and professional costs, payment collection, accounting and follow-up, and associated customer service. Conducting entry, editing and submission of electronic and hardcopy healthcare claims to various payers (Government, Managed Care and Private Insurance). Participating in accounts receivable collections and payer/patient follow-up to include receipt entry, receipt balancing, payer denial review, insurance verification and appeals processing. Reviewing accounts to insure all charges are computed correctly or appropriate adjustments are made for both hospital and professional fees. Receiving and documenting in the information system patient responsible payments including co-payments and time of service charges.


**POSITION RESPONSIBILITIES**


Works with vendors to assure that products or services are delivered to time and quality specifications. Utilizes privacy standards when sharing, accessing and storing data. Collects required data through various data sources. Applies the concept of collaboration to build relationships and coordinate with other teams. Selects most appropriate communication approach depending on message and audience. Uses a variety of computer hardware, operating systems, utilities and applications. Explains the relationships with claims adjusters, insurance companies, outside legal counsel, and other claims related parties. Describes major tasks and responsibilities of a customer support function Seeks information from resources such as major industry publications and professional associations. Participates in major data entry operations department or roles. Clarifies basic principles, processes and terminology related to the insurance business. Maintains accounts receivable records as a regular part of daily work.


**DEPARTMENT DETAILS**


The Patient Accounts Representative will spend 90-95% of their day on the phone either receiving calls, or making collections calls to patients, physicians, departments or insurance companies. The hours for this position are Monday-Thursday 9:30-6:00 p.m. and Friday 8:30-5 p.m.


**QUALIFICATIONS**


Minimum of a high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in billing preferred but not required. Call Center experience preferred.


**About Sanford Health:**


At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.


In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community,
across the region and around the world.


The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.


Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application,
please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .


In compliance with federal law requiring employers to verify new employees' U.S.
employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at or here for Spanish Version at .


**City:** Sioux Falls

**State:** South Dakota

**Job Function:** Revenue Cycle

**Job Schedule:** Full Time

**Shift:** Days

**Req Number:** req20268

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