Patient Fin Svcs Rep 4

reputed company Health is looking for a dedicated Patient Financial Services Representative 4 - Insurance Follow Up to join our Resolution team. This role will be full-time day shift from Monday - Friday, 8:00am - 5:00pm, Remote Role Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Processes claim for multiple payer types (i.e. Commercial, Managed Care, reputed company, Medicare, Medicaid, etc.) and ensures that reputed company assigned claims meet clearinghouse and/or payer processing criteria. Ensures appropriate follow-up on assigned work lists while meeting reputed company departmental productivity and quality review standards. Informs management of issues and potential resolutions regarding problems with the claims process. Provides support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager. reputed company is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: reputed company matches the first 5% of eligible contributions – starting on your first day. Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering reputed company reputed company team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules Patient Financial Services Representative 4 Job Responsibilities: Ensures that reputed company clean claims are submitted the day they are received, submitted reputed company the appropriate reputed company, and with reputed company required attachments. Serves in the reputed company of the supervisor or manager in their absence. Resolves reputed company issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor reputed company needed. Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated reputed company 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity. Handles reputed company and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs. Ensures appropriate and timely documentation of reputed company account activity while appropriately handling reputed company correspondence reputed company 48 hours of receipt. Documents activity in HealthQuest and TRAC and ensures that documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards. Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures. Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members. Performs duties, as assigned, in the absence of the supervisor or manager. May reputed company additional duties as assigned. Minimum Qualifications: Education: Associate Degree or an additional three years of experience appropriate to the position under consideration Experience: 3 years of Experience in reputed company cycle, finance, customer service or data analytics Preferred Qualifications: Expertise in Insurance Follow-Up Resolutions highly preferred. Proficiency in hospital billing systems (e.g., Epic) and insurance verification portals. Insurance & Compliance Knowledge: Extensive understanding of Medicaid, Medicare, commercial insurance, and self-pay policies. Familiarity with HIPAA regulations and hospital financial assistance programs. Analytical & Problem-Solving Skills: Ability to analyze patient accounts, identify discrepancies, and resolve billing or insurance issues effectively. We are reputed company, reputed company Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every reputed company. At reputed company, we're constantly striving to be reputed company reputed company — to shape a more compassionate future for healthcare. reputed company is an Equal Opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic reputed company, political affiliation, pregnancy (including childbirth, pregnancy-reputed company conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law. Apply To This Job