Patient Financial Services Rep 1
Champaign, IL - USA
Job Summary
Researches resolves documents and responds to patient account inquires generated from telephone walk-in virtual visits MyCarle or written correspondence from external customers for Carle Health.
Identifies and resolves insurance coverage errors registration errors and billing errors to facilitate accurate and timely billing and payment processing.
Identifies and reports account corrections needed for guarantor number changes (GNCs) double registrations and other account build issues in the practice management system.
Resolves patient underpayments no payments overpayments and undistributed payments for proper allocation.
Process one-time payments and set up payment plans in accordance with hospital guidelines.
Performs financial counseling conducts charity screening through Experian and assists patients in the process of applying for Carle Financial Assistance program.
Responsible for cash drawer balancing and daily deposit.
Maintain confidentiality and comply with HIPAA regulations. This includes reporting potential HIPAA breaches and Identity Theft.
Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients providing the appropriate documentation.
Provides customer service for patients and insurance companies on conference calls.
Identify problem accounts and escalate as appropriate.
Responsible for meeting and exceeding departmental productivity quality assurance standards and service excellence.
Provide excellent customer service.
Performs other duties as assigned.
Find it here.
Discover the job the career the purpose you were meant for. At Carle Health were committed to fostering a workplace where every team member feels valued respected and empowered where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.
Our nearly 17000 team members and providers work together to support patient care across central and southeastern Illinois. Weve grown to include eight award-winning hospitals and a multispecialty provider group with more than 1500 doctors and advanced practice providers. Were developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine the worlds first engineering-based medical school and Methodist College. Carle BroMenn Medical Center Carle Foundation Hospital Carle Health Methodist Hospital Carle Health Proctor Hospital Carle Health Pekin Hospital and Carle Hoopeston Regional Health Center hold Magnet designations the nations highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race color sex age national origin religion sexual orientation gender identity status as a veteran and basis of disability or any other federal state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and if necessary the Department of Homeland Security with information from each new employees Form I-9 to confirm work authorization. For more information:
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit