Patient Financial Services Representative
Core
Process patient insurance claims, manage accounts receivable, and resolve billing discrepancies using the Epic system.
Role type
Patient Financial Services Representative
Builds
Hospital and physician insurance claims (UB-04 and 1500 forms)
Domain
Healthcare billing and revenue cycle management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Healthcare billing knowledge, insurance plan expertise, medical coding familiarity, data entry proficiency, Epic system proficiency, claim reconciliation, denial management, patient communication, regulatory compliance (HIPAA), analytical skills
Preferred skills
Hospital billing experience, physician billing experience, 2+ years in healthcare billing
Technologies
Epic, Microsoft Office Suite, MS Outlook, SharePoint, OneDrive
Responsibilities
Prepare and submit compliant insurance claims, resolve claim denials and discrepancies, collect aged accounts receivable, generate technical appeals, reconcile account balances, communicate with patients and insurance companies, monitor payer policy updates
Seniority
Individual Contributor, entry to mid-level