Patient Financial Services Specialist - ON SITE

Regional West Health Services•Scottsbluff, NE

7d•Onsite

About The Position

The Patient Financial Services Specialist supports efficient and accurate management of the financial aspects of patient care. The role provides prompt, effective customer service to internal and external customers and applies knowledge of revenue cycle activities, including cash transactions, billing, and reimbursement. The specialist helps patients understand their financial responsibilities, manages patient accounts, and collaborates with internal departments to support revenue cycle processes and patient satisfaction. Daily work includes reviewing patient accounts; identifying sources of payment; explaining financial responsibilities and payment options; verifying insurance eligibility, benefits, and coverage; coordinating with medical staff to support accurate billing and coding; preparing, submitting, and tracking claims; and resolving claim denials and discrepancies with insurance companies. The specialist evaluates financial documents to determine eligibility for programs or coverage, applies relevant laws and guidelines, and establishes and oversees payment plans. The role also requires accurate documentation of patient financial information, strict adherence to HIPAA and confidentiality requirements, and excellent service to patients, families, and internal departments.

Requirements

High school diploma or GED preferred.
At least 1 year of experience with clerical, financial, and/or patient accounting activities, including computer operations.
Experience with Microsoft Office programs and Excel worksheets.
Strong knowledge of medical billing procedures, insurance verification, and healthcare regulations.
Proficiency with electronic health record (EHR) systems and billing software.
Excellent communication and customer service skills.
Commitment to accuracy, professionalism, and confidentiality.

Nice To Haves

High school diploma or GED is preferred.

Responsibilities

Review patient accounts and identify sources of payment for services.
Explain patients’ financial responsibilities and available payment options.
Verify insurance eligibility, benefits, and coverage details.
Work with medical staff to support accurate billing and coding.
Prepare, submit, and follow up on insurance claims to support timely reimbursement.
Resolve claim denials and address billing discrepancies with insurance companies.
Evaluate financial documents to determine eligibility for programs or coverage, applying relevant laws, regulations, and guidelines.
Set up and oversee patient payment plans.
Maintain and regularly update complete, accurate patient financial records.
Protect confidential information and comply with HIPAA regulations.
Provide customer service and financial-process support to patients, families, and internal departments.