Patient Financial Representative Senior
2 weeks ago
HJ Staffing is seeking a Senior Patient Financial Representative to join our Revenue Cycle team. In this pivotal role, you will ensure the financial health of our organization by driving account resolution and the reconciliation of outstanding patient balances.
We are looking for a professional who operates with the highest ethical standards, thrives in a cooperative team environment, and is dedicated to providing exceptional value to both internal and external customers.
The OpportunityAs a Senior Representative, you will go beyond basic billing. You will be a subject matter expert in the Revenue Cycle, responsible for high-level cash reconciliation, denial management, and complex account inquiries. You will act as a bridge between patient care and financial sustainability.
What You Will Do- Revenue Cycle Excellence: Perform functions that meet or exceed key performance metrics (KPIs) and departmental productivity standards.
- Account Resolution: Collect and provide critical patient and payor information to facilitate resolution. Respond to inquiries via written, verbal, or electronic channels.
- Regulatory Compliance: Maintain expert knowledge of insurance, self-pay billing, and third-party regulations. Ensure full compliance with CPT, HCPCS, and ICD-10 coding guidelines.
- Claims & Denials: Review and work claim edits, resubmit rejected claims, and identify denial trends to ensure timely turnaround and resolution.
- Collections & Underpayments: Monitor collector queues daily to ensure proper reimbursement and identify/resolve underpayments or credit balances within payor-mandated timelines.
- Cash Reconciliation: Research and post cash payments, resolve unapplied cash, and reconcile daily bank deposits against monthly statements to ensure 100% accuracy.
- Leadership Support: Provide continuous updates to the PFS Leadership Team regarding trends, errors, or issues affecting productivity and the patient experience.
- Experience: 3–5 years of experience in Collections and Cash Reconciliation within a multi-facility hospital business office environment.
- Technical Knowledge: Deep understanding of inpatient and outpatient billing requirements, specifically UB-04 and HCFA 1500 billing forms.
- Coding Literacy: Strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations.
- Systems Proficiency: Experience with electronic claims editing, submission capabilities, and patient accounting host systems.
- Communication: Professional and effective written and verbal communication skills are essential for interacting with payors, finance departments, and patients.
- Location: 100% Onsite.
- Role Type: Full-Time Senior Level.
- Environment: Fast-paced, team-oriented hospital business office.
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