Patient Financial Services Representative

Charlie Health•Nashville, TN

20h•Hybrid

About The Position

The Patient Financial Services Representative researches and resolves third-party healthcare insurance denials, edits, information requests, and related correspondence. The role supports other revenue cycle management departments by identifying and analyzing open claims and correcting billing errors. It requires thorough knowledge of government, commercial, HMO, PPO, and other insurance billing guidelines across multiple states, as well as sound judgment when processing claims. This role maintains aged insurance accounts receivable, reviews and appeals denied claims, follows up on appeals, processes corrected claims, and helps respond promptly to medical documentation requests. The representative coordinates with teams across the company to support efficient management of aged accounts receivable and provides leadership with updates and feedback. The position follows a hybrid schedule of four days per week in the Nashville office; the employee must live within a 75-minute commute.

Requirements

At least 3 years of experience in an insurance accounts receivable department.
Knowledge of payer-specific billing requirements.
Strong organization and ability to track workflows using various tools.
Strict attention to detail and excellent organizational skills.
Customer service skills for working with insurance companies and colleagues.
Ability to maintain a high level of integrity and confidentiality of medical information.
Ability to work a hybrid schedule of four days per week in the Nashville office and live within a 75-minute commuting distance.

Nice To Haves

Experience in behavioral health.

Responsibilities

Maintain aged insurance accounts receivable queues within the age-base date defined by leadership.
Review and appeal denied claims related to bundling, medical coding, and contracting issues.
Follow up promptly on all appeal submissions.
Process corrected claims and help ensure timely turnaround of medical documentation requests.
Provide leadership with follow-up and feedback regarding assignments.
Coordinate with other company departments to support smooth and efficient management of aged accounts receivable.
Work necessary reports to ensure assigned accounts receivable are actively worked and maintained.