Patient Financial Services Representative - Remote

TEKsystems•Salt Lake City, UT

4d•$22 - $28•Remote

About The Position

A Pacific Northwest-based healthcare provider is interested in hiring a fully remote Patient Financial Services Representative to add to their team! This is a long term opportunities to join a growing regional brand. Candidates must sit out of PST or MST states! The team is targeting candidates with 2 years in Healthcare Revenue Cycle Billing Description Serve as the primary point of contact for patients regarding billing questions, insurance coverage, payment options, and financial responsibilities. Research and resolve complex billing inquiries by reviewing account histories and collaborating with relevant departments. Process patient payments, document all interactions accurately in the EMR system, and maintain confidentiality in accordance with HIPAA regulations. Contact patients proactively to discuss outstanding balances, negotiate payment arrangements, and monitor self-pay accounts for timely follow-up on delinquent accounts. Identify and resolve billing discrepancies that impact patient balances or payment delays. Conduct financial assessments to determine eligibility for internal financial assistance and administer charity care programs per established guidelines. Screen patients for eligibility in government programs (e.g., Medicaid, Medicare, CHIP) and guide them through the application process. Calculate patient financial responsibility estimates prior to services and ensure cost transparency. Coordinate with clinical teams to remove financial barriers and support patient access to care. Stay current on healthcare billing regulations, payer policies, and financial assistance programs to ensure compliance and informed support. Participate in continuous improvement initiatives to enhance workflow efficiency and the overall patient financial experience. Support team goals by contributing to collection targets, patient satisfaction, and account resolution metrics, while remaining cross-trained in other revenue cycle functions for backup support. Other duties as assigned.

Requirements

Associate's degree in Healthcare Administration, Finance, or a related field.
2+ years of experience in healthcare revenue cycle billing.
Proficient in using healthcare billing software, CRM systems, and financial assistance program platforms.
Strong understanding of government healthcare programs and eligibility requirements, including Medicaid and Medicare.
Working knowledge of HIPAA regulations and the Fair Debt Collection Practices Act (FDCPA).

Responsibilities

Serve as the primary point of contact for patients regarding billing questions, insurance coverage, payment options, and financial responsibilities.
Research and resolve complex billing inquiries by reviewing account histories and collaborating with relevant departments.
Process patient payments, document all interactions accurately in the EMR system, and maintain confidentiality in accordance with HIPAA regulations.
Contact patients proactively to discuss outstanding balances, negotiate payment arrangements, and monitor self-pay accounts for timely follow-up on delinquent accounts.
Identify and resolve billing discrepancies that impact patient balances or payment delays.
Conduct financial assessments to determine eligibility for internal financial assistance and administer charity care programs per established guidelines.
Screen patients for eligibility in government programs (e.g., Medicaid, Medicare, CHIP) and guide them through the application process.
Calculate patient financial responsibility estimates prior to services and ensure cost transparency.
Coordinate with clinical teams to remove financial barriers and support patient access to care.
Stay current on healthcare billing regulations, payer policies, and financial assistance programs to ensure compliance and informed support.
Participate in continuous improvement initiatives to enhance workflow efficiency and the overall patient financial experience.
Support team goals by contributing to collection targets, patient satisfaction, and account resolution metrics, while remaining cross-trained in other revenue cycle functions for backup support.
Other duties as assigned.