Patient Financial Services Representatives (50326)

La Paz Regional Hospital & Clinics•Parker, AZ

9d•$17 - $21•Onsite

About The Position

The Patient Financial Services Representative is responsible for supporting the Patient Accounts department through account management, insurance follow-up, claims resolution, and customer service. This role serves as a liaison between patients, the organization, and insurance providers, working to ensure timely reimbursement and a positive financial experience for patients.

Requirements

High school diploma or GED.
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
Basic proficiency in Microsoft Office Suite.
Demonstrated experience in data entry and customer service.

Nice To Haves

2–5 years of experience in medical billing and/or insurance follow-up.
Additional education or certifications in healthcare billing or revenue cycle preferred.
Familiarity with payer portals and clearinghouse platforms (e.g., Availity, Change Healthcare).
Working knowledge of CPT/HCPCS, ICD-10 codes, and medical terminology.
Understanding of government payer regulations (Medicare, Medicaid, Tricare, etc.).

Responsibilities

Review and resolve unpaid claims in accordance with payer contracts and internal policies to achieve optimal reimbursement.
Identify and address claim denials and rejections; submit corrected claims and provide requested documentation as needed.
Utilize reports and dashboards to identify claim issues and take corrective action.
Ensure accuracy and completeness of all submitted claims.
Process patient and insurance refunds in accordance with organizational policies.
Draft and send routine correspondence to patients and insurance carriers.
Respond promptly to patient and insurance inquiries, offering clear and courteous support.
Maintain compliance with all applicable federal and state regulations, including HIPAA, OSHA, and ACHC guidelines.
Stay current with industry standards and payer requirements.
Foster collaborative relationships across departments and contribute to a positive team environment.
Strong customer service and communication skills (verbal and written).
Ability to work independently and collaboratively within a team setting.
Strong time management, organizational, and data entry skills.
Ability to effectively operate office equipment such as phones, computers, and fax machines.
Receptive to feedback and able to implement corrective actions professionally.
Perform other related duties as assigned.