Patient Financial Services Specialist

FRC•Fairfax, VA

3d•Hybrid

About The Position

Fairfax Radiology Centers (FRC) is seeking a detail-oriented, compassionate, and service-minded Patient Financial Services Specialist to join its Revenue Cycle team. The specialist helps patients understand insurance coverage, financial responsibilities, cost estimates, billing questions, and account concerns. The role combines patient communication, insurance verification, financial estimating, account research, payment processing, and problem-solving to support a clear and compassionate patient experience. This is an internal posting for current FRC employees only. The position is hybrid, initially requiring on-site work 1–2 days per week, with potential for increased remote flexibility based on departmental needs. The specialist works with Patient Financial Services leadership, Revenue Cycle colleagues, patient-facing teams, and insurance payers. The role also supports revenue cycle systems and process improvements while maintaining accurate records in accordance with HIPAA and departmental procedures.

Requirements

Associate degree in Healthcare Administration, Health Sciences, or a related field, plus at least one year of experience in healthcare patient services, patient billing, patient accounts, insurance verification, medical office operations, or related revenue cycle functions; an equivalent combination of education and experience will be considered.
Experience communicating with patients by telephone and responding to questions involving insurance coverage, financial transactions, patient accounts, or medical billing.
Experience using patient billing or revenue cycle systems and Microsoft Excel for account research, data entry, and reporting.
Strong communication and customer service skills, including the ability to explain insurance benefits and financial information clearly and in a patient-friendly manner.
Excellent attention to detail and organizational skills, with the ability to research and resolve account discrepancies.
Ability to manage multiple priorities while maintaining accuracy, confidentiality, and professionalism.
Compassionate, patient-centered approach to sensitive financial conversations and resolving concerns.

Nice To Haves

Bilingual proficiency, particularly in Spanish, is strongly preferred; proficiency in additional languages is also valued.

Responsibilities

Verify patient insurance eligibility and coverage using payer portals, electronic tools, and direct communication with insurance carriers.
Review insurance benefits, coverage requirements, and applicable medical codes to prepare accurate patient out-of-pocket cost estimates.
Contact patients before scheduled imaging appointments to explain estimated financial responsibilities, insurance benefits, and coverage information.
Answer patient questions about insurance coverage, financial estimates, and payment responsibilities professionally and compassionately.
Research and resolve insurance eligibility, benefit, and coverage discrepancies, escalating complex issues when appropriate.
Stay informed about payer requirements, insurance products, and benefit changes that may affect patient financial responsibility.
Respond to patient calls and inquiries about medical bills, account balances, insurance payments, and other financial concerns.
Research and resolve patient account discrepancies, including outstanding balances, payments, adjustments, denials, and refunds.
Support legacy accounts receivable activities, including account research, reconciliation, and coordination of outstanding balances with collection partners.
Process and reconcile insurance and patient payments, account adjustments, and refunds as needed.
Assist with payer audits and post-payment reviews, including medical record requests, payment retractions, recoupments, and related follow-up.
Coordinate with internal departments and insurance payers to investigate and resolve complex billing and reimbursement issues.
Provide timely support to Hospitality Associates and other internal teams through Microsoft Teams and telephone channels regarding patient billing and payment questions.
Assist with inquiries involving Group Billing, Charity Care, Financial Aid, and other patient financial matters.
Research and resolve patient billing concerns received through Patient Relations, website communications, or other internal channels.
Collaborate across departments to ensure patient concerns are addressed accurately, professionally, and in a timely manner.
Maintain accurate documentation of patient communications, account research, financial estimates, and actions taken in accordance with HIPAA and departmental procedures.
Use patient accounting, insurance, and revenue cycle systems to research accounts, verify information, and support accurate financial transactions.
Participate in system testing, data validation, and implementation of workflow or process changes.
Identify recurring billing, insurance, or estimation issues and communicate improvement opportunities to Revenue Cycle leadership.
Support initiatives that improve billing accuracy, operational efficiency, and the patient financial experience.