Patient Financial Services Representative

TEKsystems•Spokane, WA

4d•$22 - $28•Remote

About The Position

● Represent our values: Awesome, Creative, Respectful, Team Players, Get it Done. ● 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.
Demonstrated knowledge of medical terminology, billing procedures, and insurance concepts.
Proficient in using healthcare billing software, CRM systems, and financial assistance program platforms.
Proficient in Microsoft Office Suite, particularly Excel, with the ability to create and interpret spreadsheets and reports.
Strong attention to detail and excellent organizational skills, with the ability to manage multiple tasks and meet deadlines.
Excellent verbal and written communication skills, including the ability to communicate complex information clearly and professionally.
Customer service-oriented with the ability to handle sensitive financial discussions with empathy, discretion, and professionalism.
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.