Patient Financial Services (PFS) Account Specialist (Accounts Receivable Clerk (Healthcare), Patient Accounts Rep, Patient Billing Coordinator)

Augusta Health Careers•Fishersville, VA

21d•Onsite

About The Position

At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia’s scenic Shenandoah Valley. Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority. As a designated Accounts Receivables Specialist in Patient Financial Services, the incumbent will provide organizational support for the hospital and/or medical group in the patient accounting role through clean and accurate billing and collection activity to ensure prompt account resolution and cash flow optimization on hospital and/or physician accounts receivables management. In addition, this position actively supports and seeks to achieve departmental goals. This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.

Requirements

High School Diploma or GED
Eligibility to work in the United States and meet Virginia state employment requirements
Excellent computer and communication skills
Adaptable to change
Ability to problem solve
Strong time management
Experience in Microsoft Office products
Proactively prioritize needs
Articulates knowledge and understanding of organizational policies, procedures and systems
Work closely and professionally with all other staff members
Seeks to model process improvement
Identifies and reports potential issues at time of discovery

Nice To Haves

Certification through AAHAM, AAPC, HFMA or other nationally recognized revenue cycle association is desired, can be obtained on the job.
Medical or accounting experience
Knowledge of third party and governmental billing/collection techniques.
Prior experience in a hospital, healthcare system, or related service-oriented environment
Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus

Responsibilities

Working daily tasks generated within any/all of the departments receivables management computer systems including assigned pre billing edit rejected claims and unpaid denied claims through identifying, documenting and following up on problematic issues that prevented the successful and timely transmission of accurate/clean claims by a third party support partner as well as following up on denied claims by governmental and other third-party payers as assigned in the work queue.
Identifying and resolving invalid or missing claim data by communicating with the physician office practices, hospital clinical departments, compliance representatives, billing support personnel and/or other constituents to secure and correct the data which prevents or compromises the accurate transmission of the claim to the payer.
Knowledge of the appeals process in researching denied claims to resolve discrepancies and correct claim data for re-billing.
Oversee assigned accounts receivable to ensure claims are being processed to completion through proactive generation of aging reports, processing of unclean claims in a timely manner, and accurate and timely follow up on unresolved claims through communications with third party payers and patients.
Troubleshoot issues that surface to ensure timely resolution.
Monitor claims for denial trends and inform all parties involved including Management Office staff, Physicians, Department leaders, and Revenue Cycle leadership.
Maintain a working knowledge of all payer standard transaction sets, such as 837 electronic claims processes, 835 electronic remittances processes and code sets, and Electronic fund transferring, to ensure timely deposits of electronic payments.
Ensuring timely accounts resolution and optimization of cash flow.
Maintain working knowledge of multiple systems used in the day-to-day functions of the centralized business office.
Prompt response to payer and patient correspondence.
Provides regular feedback to management related to payer issues, provider office issues, and any other issues that will delay payment of claims.
Ability to understand trends versus one off situations that may become a pattern.
Keeping informed of new federal and state billing regulations any guidelines and report any issues to leadership.
Meets productivity standards as set by departmental policy in the areas of quantity of work and quality of work.
Other duties as assigned by Hospital and Physician Billing Manager, or Patient Accounting Director.

Benefits

Comprehensive insurance package including medical, dental, and vision coverage
Retirement savings plans and financial wellness support programs
Generous paid time off and flexible scheduling to promote work-life balance
Career development programs including clinical ladders, shared governance, and advancement opportunities
Personalized onboarding with dedicated preceptors and ongoing educational support
Tuition reimbursement
Access to onsite childcare
Free onsite parking
24/7-armed security for your safety
a Health Fitness Reimbursement Program
an onsite credit union and pharmacy
Competitive pay with shift/weekend differentials
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)