Patient Financial Services Rep/UKHC

University of KentuckyLexington, KY
31d

About The Position

The Patient Financial Services Representative is responsible for managing insurance claim follow-up and resolution to ensure timely and accurate reimbursement. This role includes investigating and appealing denials, resubmitting claims, communicating with payers, and identifying trends impacting revenue. Representatives are expected to meet established productivity and quality standards while maintaining accurate documentation in departmental systems and following defined workflows. Strong organizational skills, revenue cycle knowledge, attention to detail, and effective communication are essential. The position also requires compliance with HIPAA regulations, completion of required trainings, and adherence to departmental policies and professional workplace standards

Requirements

  • customer service oriented
  • strong revenue cycle knowledge with a HB denial handling
  • in-depth HIPAA knowledge and a high level of respect for confidentiality
  • ability to multi-task while maintaining accuracy and attention to detail
  • proficiency in Epic, payer portals, and electronic billing systems
  • Microsoft Office skills including Outlook, Word, Excel, and PowerPoint
  • excellent written and verbal communication skills
  • strong time management
  • critical thinking
  • follow-through
  • organizational abilities to meet productivity standards
  • adaptability to evolving payer rules
  • solid problem-solving skills to analyze and resolve denials
  • professionalism to ensure compliance and accurate documentation at all times

Nice To Haves

  • 3-4 years of insurance claims and billing.
  • Previous experience working with patient accounts/HIPAA highly preferred.

Responsibilities

  • managing insurance claim follow-up and resolution
  • investigating and appealing denials
  • resubmitting claims
  • communicating with payers
  • identifying trends impacting revenue
  • maintaining accurate documentation in departmental systems
  • following defined workflows
  • compliance with HIPAA regulations
  • completion of required trainings
  • adherence to departmental policies and professional workplace standards

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What This Job Offers

Job Type

Full-time

Industry

Educational Services

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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