Patient Financial Services Specialist

Job Summary

Verifying claims and following up for payments, the full-time Patient Financial Services Specialist will manage denial reviews, appeals, and resubmissions while working remotely.

Key responsibilities

• Verify claims receipt by payers and follow up to obtain payments through various communication methods
• Review claim adjustments and determine appropriate follow-up actions for denied claims
• Draft appeals and obtain necessary medical records to support claims during the appeals process

Required qualifications

• High school diploma or equivalent
• 2-3 years of Revenue Cycle experience within the medical field required
• Microsoft Excel proficiency required
• Epic billing or HFMA CRC certification (or comparable certification) preferred
• Basic understanding of working in multiple software applications simultaneously