Role Description Fairview is seeking a full-time, benefit-eligible Patient Financial Services Representative III to join our team. This position is scheduled Monday through Friday on the day shift and plays a key role in supporting patients through complex billing, insurance, and account resolution activities. Team members in this role work in a collaborative virtual environment while partnering closely with colleagues across the Revenue Cycle to deliver exceptional customer service and financial support. - Intentionally prevents untimely revenue shortfalls by taking action to resolve financial transactions appropriately and effectively to ensure collection of expected payment; escalates issues when appropriate. - Completes daily work assignment timely and accurately in accordance with the identified productivity and quality standards set forth by the organization. - Performs the best practice routine per department guidelines. - Proactively looks for continuous process improvements involving people and technologies through tracking, trending, and providing feedback. - Accelerates business outcomes by identifying ways to fully resolve accounts through single-touch resolution when possible. - Understands revenue cycle and the importance of evaluating and securing all appropriate reimbursements from insurance or patients. - Contacts payers via portal or provider service center to facilitate timely and accurate resolution of accounts. - Responsible for processing external correspondence in a timely and efficient manner. - Ensures internal correspondence is clearly and professionally communicated and processed expeditiously. - Responsible for verification of insurance and/or patient demographics. - Understands expected payment amounts and Epic expected payment calculations to appropriately adjust accounts. - Educates patients and/or guarantors of patient liability when appropriate. - Understands and complies with all relevant laws, regulations, payer and internal policies, procedures, and standards, and applies this understanding through daily work. - Responsible for processing accounts through multiple workflows. - Responsible for working accounts requiring more attention to detail. - Advanced knowledge of team procedures, standards, and policies, and applies this knowledge through daily work. - Makes appropriate contacts with payers and other necessary parties to obtain and/or provide data or information needed to facilitate timely and accurate account resolution to expedite outcomes. - Utilizes strong understanding of multiple systems/applications to ensure collection of expected payment. - Utilizes knowledge of internal and external departmental functions and workflows to expedite and resolve when necessary. - Responsible for in-depth investigation and resolution of complex accounts. - Utilizes public speaking skills through high engagement in discussions and meeting facilitation. - May be assigned complex responsibilities/projects that require senior leadership visibility or approval. - Acts as a key resource to the team by mentoring staff and/or supporting the lead. - Responsible for detailed analysis and processing of correspondence to facilitate improved collection processes. - Maintains, complies, and shares knowledge of all relevant laws, regulations, payer and internal policies, procedures and standards. - Extensive knowledge of other areas within the department to provide support as needed. Qualifications - Experience with billing and denials follow-up of Medicare. - 2 years in a medical billing office setting or relevant experience. - Organizational skills. - Communication skills. - Attention to detail. Requirements - 2 years of Medicare billing and denials follow-up (preferred). - MS Office experience (preferred). - Coordination of benefits experience (preferred). - Epic experience (preferred). - Experience working with medical terminology (preferred). - Experience working with CPT-4 and ICD-10 (preferred). - Extensive knowledge of FV account review experience (preferred). - Extensive knowledge of FV system applications (preferred). - Extensive knowledge of FV RCM workflows (preferred). - Substantial system super user experience (preferred). Benefits - Generous benefit package including medical, dental, vision plans. - Life insurance. - Short-term and long-term disability insurance. - PTO and Sick and Safe Time. - Tuition reimbursement. - Retirement. - Early access to earned wages. - And more!