Patient Financial Services- Self Pay Clerk

Medtronic - Northridge, CA (30+ days ago)4.0


Patient Financial Services Self Pay Clerk
Northridge, CA

Careers That Change Lives
In this exciting role as a Self-Pay Clerk you will have responsibility for verifying accuracy of statements (patient and payor related) as well as other healthcare financial accounting documentation or records within an inbound call center environment. Entering data into computer systems using defined computer resources and programs. Compiling data and preparing a variety of reports. May reconcile records with PFS team members and leaders; communicating with external vendors and customers (including representatives of health plans/payors.)

This position executes on established departmental objectives and assignments which affect the immediate operation, but that also have full revenue cycle and ultimately company-wide financial impact.

DIABETES
The Diabetes Group is working with the global community to change the way people manage diabetes. Together, we will transform diabetes care by expanding access, integrating care, and improving outcomes; so people with diabetes can enjoy greater freedom and better health.
We value what makes you unique. Be a part of a company that thinks differently to solve problems, make progress, and deliver meaningful innovations.

Visit www.medtronicdiabetes.com to see an overview of the products in our Diabetes product portfolio.

A Day in the Life
As a key member of the Patient Financial Services (PFS) team, responsibilities include all aspects of Insurance verifications and authorization activities, including customer service with an objective of maximizing cash flow and keeping denials to a minimum.
Analyzes credit information to establish customers' credit limits permitting highest profitable sales consistent with reasonably minimum losses.
Counsels and negotiates with customers to improve financial controls, suggests sources of working capital, and sets up special credit arrangements and payment schedules.
Plans credit restriction and collection tactics for risky, slow pay, and sensitive accounts.
May collect outstanding receivables in accordance with terms and conditions of sale.

Must Have: Minimum Requirements
To be considered for this role, please ensure the minimum requirements are evident on your resume.
High School Diploma or GED
2+ year’s experience with insurance billing and/or collections experience
Nice to Have
Experience in handling high volume medical authorization and insurance verification inbound and outbound calls, providing world class customer service.
Insurance billing or collections experience in a medical group, health care company, and or hospital setting
Experience with medical billing and collections terminology (e.g. CPT, HCPCS, and ICD-9, ICD-10 coding)
Experience in handling high volume medical authorization and insurance verification inbound and outbound calls, providing world class customer service.
Experience with various insurance plans offered by both government and commercial insurances (PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs, etc.) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.
Experience with reading and understanding the information provided on EOBs, remittance advices, and other insurance correspondence and/or in calculating patient responsibility taking into consideration coverage and benefits, including referral, authorization, and/or pre-determination requirements, and contract terms
Experience with HIPAA guidelines and healthcare compliance.
Experience with MS Office suite (Word, Excel, Outlook), and internet and web site navigation.
Strong customer service skills with ability to interact with both internal and external customers, i.e. patients, insurance payors, physicians, internal departments and handle in a professional manner with customer-friendly focus and attention to detail in resolving issues.
Experience with Advanced MD
About Medtronic
Together, we can change healthcare worldwide. At Medtronic, we push the limits of what technology, therapies and services can do to help alleviate pain, restore health and extend life. We challenge ourselves and each other to make tomorrow better than yesterday. It is what makes this an exciting and rewarding place to be.

We want to accelerate and advance our ability to create meaningful innovations - but we will only succeed with the right people on our team. Let’s work together to address universal healthcare needs and improve patients’ lives. Help us shape the future.

Physical Job Requirements
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.

The physical demands described within the Day in the Life section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Travel <20%

EEO
It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities.

This employer participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees