Patient Financial Services Representative
Core
Research and rectify third-party healthcare insurance denials, edits, and requests for information; support RCM departments in identifying and analyzing open claims and correcting billing errors.
Role type
Accounts Receivable Representative (Healthcare Insurance)
Builds
Corrected claims and timely medical documentation responses
Domain
Healthcare / Behavioral Health / Insurance Billing
Required skills
Insurance billing guidelines knowledge, claim denial appeal, medical coding knowledge, contract analysis, aged AR management, report generation
Preferred skills
Behavioral health experience, multi-state payer knowledge
Technologies
Various workflow tracking tools
Responsibilities
Maintain aged insurance accounts receivable queues, review and appeal denied claims, follow up on appeal submissions, process corrected claims, provide feedback to leadership, coordinate with other departments, work necessary reports
Seniority
Mid-level, hands-on IC