Patient Financial Services Representative
About The Position
Responsible for managing moderate-complexity patient account activities to optimize reimbursement and reduce accounts receivable. Provides expertise in billing, follow-up, collections, and/or denials resolution to improve financial outcomes. Ensures accuracy of charge, claim, and payment data through reviews and targeted corrections. Recommends workflow improvements, reporting insights, and queue management practices that elevate productivity. Coordinates cross-functional problem solving with coding, clinical, and payer partners to support organizational financial objectives.
Requirements
- High school diploma or equivalent
- 2-3 years of experience
- All experience must be paid and in the same related field.
- Part-time and PRN experience will be prorated based on hours worked per week.
- Volunteer work and internships for academic credit are not counted.
Nice To Haves
- An equivalent combination of education and experience may be considered.
Responsibilities
- Provides expertise in billing, follow-up, collections, and/or denials resolution.
- Performs timely follow-up on outstanding claims and appeals to meet aging and recovery targets.
- Reviews charge, payment, and adjustment activity to identify variances and initiate corrective action.
- Reconciles patient balances and payer remittances to ensure accurate application of payments and adjustments.
- Communicates professionally with stakeholders regarding estimates, statements, and complex balance questions.
- Collaborates with coding, authorization, and utilization review teams to resolve documentation and coverage gaps.
- Maintains compliance with HIPAA, FDCPA, and payer contract provisions in all actions.
- Performs other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
