Patient Financial Services Representative 4

Inova•Fairfax, VA

1d•$23 - $37•Hybrid

About The Position

Inova is looking for a dedicated Patient Financial Services Representative 4 to join the team. This role will be full-time hybrid. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Requirements

Associate Degree or an additional three years of experience appropriate to the position under consideration.
3 years of Experience in revenue cycle, finance, customer service or data analytics.

Nice To Haves

Claims and Follow Up

Responsibilities

Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments following the Transplant contract guidelines.
Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed.
Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity.
Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs.
Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt.
Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures.
Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members.
May perform additional duties as assigned.