Patient Financial Services Representative

Job Summary

A company is looking for a Patient Financial Services Representative 4 - Insurance Follow Up to join their Denials team.

Key Responsibilities

• Ensure timely and accurate submission of clean claims and serve in the absence of the supervisor or manager
• Resolve complex issues through coordination with team members and other departments, ensuring claims are reviewed and corrections made within 24 hours
• Document account activity professionally and maintain knowledge of payer requirements and hospital policies

Required Qualifications

• Education: Associate Degree or three additional years of relevant experience
• Experience: 3 years in revenue cycle, finance, customer service, or data analytics
• Preferred: Expertise in Insurance Follow-Up Denials and proficiency in hospital billing systems
• Knowledge of Medicaid, Medicare, commercial insurance, and HIPAA regulations
• Ability to analyze patient accounts and resolve billing or insurance issues effectively