Patient Financial Representative Senior \ 1317

• The associate is responsible for the duties and services that are of a support nature to the Revenue Cycle division of Client. The associate ensures that all processes are performed in a timely and efficient manner. The primary purpose of this Job is to ensure account resolution and reconciliation of outstanding balances for Client patient accounts. The Job works in a cooperative team environment to provide value to internal and external customers.
• The associate carries out his/her duties by adhering to the highest standards of ethical and moral conduct, acts in the best interest of Client , and fully supports Client's Mission, Philosophy, and core values of Dignity, Integrity, Compassion, Excellence, and Stewardship.

• Meets expectations of the applicable One Client Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Performs Revenue Cycle functions in a manner that meets or exceeds Client Health's key performance metrics.
• Ensures PFS departmental quality and productivity standards are met. Collects and provides patient and payor information to facilitate account resolution. Responds to all types of account inquiries through written, verbal, or electronic correspondence.
• Maintains payor-specific knowledge of insurance and self-pay billing and follow-up guidelines and regulations for third-party payers. Maintains working knowledge of all functions within the Revenue Cycle.
• Responsible for professional and effective written and verbal communication with both internal and external customers in order to resolve outstanding questions for account resolution. Meets or exceeds customer expectations and requirement.

Revenue Cycle | Healthcare | 3–5 Years Experience

• Detail oriented and experienced Senior Patient Financial Representative to support Revenue Cycle operations and ensure timely, accurate resolution of patient accounts and outstanding balances.
• This role plays a critical part in billing, collections, cash reconciliation, and account resolution while delivering exceptional service to internal teams, payors, and patients.

Experience

• 3–5 years of healthcare revenue cycle experience
• Experience in a multi-facility hospital business office environment preferred

What We're Looking For

• Strong knowledge of CPT, HCPCS, and ICD-10 coding guidelines
• Solid understanding of billing, collections, and payor regulations
• Excellent written and verbal communication skills
• High attention to detail and problem-solving ability
• Professionalism and commitment to ethical standards

Key Responsibilities

Revenue Cycle Operations

• Perform revenue cycle functions to meet or exceed key performance and productivity standards.
• Review and resolve account inquiries via written, verbal, or electronic communication.
• Collect and verify patient and payor information to facilitate account resolution.
• Maintain working knowledge of insurance billing guidelines and third-party payor regulations.
• Ensure compliance with all organizational, payor, and government regulations.
• Document account activity accurately within patient accounting systems.

Billing

• Review and correct claim edits.
• Resolve rejected claims and prepare for resubmission.
• Process billing requests and reports.
• Demonstrate knowledge of standard bill forms and electronic claim submission processes.

Collections

• Follow up with payors to ensure proper reimbursement.
• Research and resolve denials, underpayments, and credit balances.
• Work daily collector queues and reporting systems.
• Identify trends impacting reimbursement and communicate findings to leadership.

Cash Reconciliation

• Reconcile payments accurately and timely with accounting systems and bank statements.
• Research unapplied cash and resolve discrepancies.
• Post cash corrections and ensure all receipts are properly applied.
• Partner with Finance, Facilities, and vendor teams to resolve payment issues.