Patient Financial Specialist
2 weeks ago
The Patient Financial Specialist is responsible for all aspects of the organization’s revenue cycle, including claims submission, coding, payment posting, denial management, and account receivables follow-up. This position requires a candidate with a strong medical billing background as well as exceptional customer service skills and phone etiquette. This is a full-time position working out of our Reston, VA office, and reporting to the Director of Patient Financial Services.
Essential Job Responsibilities
- Manage insurance accounts receivable, including timely, follow up of denied claims, contacting insurance companies for the status of claims, and preparation of appeals.
- Manage patient accounts receivable, including corresponding with patients to resolve account inquiries and establish payment plans.
- Prepare accounts for an external collection agency.
- Prepare claims for submission including charge entry and submission of electronic and paper claims.
- Identify trends in denials and opportunities for improvement in the billing process.
- Provide an excellent standard of customer service when communicating with patients to resolve all inquiries regarding billing, outstanding balance, or overall account status.
- Responsible for reviewing patient records, including operative reports and procedure notes, for correct coding, appropriate documentation, and compliance with industry guidelines and standards.
Job Requirements
- Bachelors degree in business or related field, post-graduate degree preferred
- 1-3 years of billing experience in the health care industry
- Candidate should be familiar with HCFA 1500, UB 92, CPT, and ICD coding rules
- Solution-oriented problem solver, helpful and strong organizational skills
- Preferred experience in physician billing with an emphasis on collections
- Proficient with oral and written communication, articulate, professional, and friendly
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