Patient Financial Services Representative/Medicare
Core
Process patient insurance claims, manage accounts receivable, and resolve billing discrepancies for a healthcare facility.
Role type
Patient Financial Services Representative
Builds
Hospital and physician insurance claims processed via Epic
Domain
Healthcare billing and revenue cycle management
Required skills
Healthcare billing knowledge, Insurance plan expertise, Medical coding familiarity, Epic system proficiency, Data entry, Claim reconciliation, Denial management, Account collection, Regulatory compliance, Communication
Preferred skills
Medicare collection experience, Hospital billing experience, Physicians billing experience, Process improvement skills
Technologies
Epic, Microsoft Office Suite, MS Outlook, SharePoint, OneDrive
Responsibilities
Submit and follow up on compliant insurance claims, Resolve claim denials and discrepancies with payers, Collect aged accounts receivable, Reconcile account balances and apply adjustments, Communicate with patients for insurance verification, Monitor payer policy updates and billing regulations
Seniority
Entry-level to Mid-level, operational IC