Patient Financial Specialist

Job Description

Salary:

The Patient Financial Specialist is responsible for all aspects of the organization’s revenue cycle, including claims submission, coding, payment posting, denial management, and account receivables follow-up. This position requires a candidate with a strong medical billing background as well as exceptional customer service skills and phone etiquette. This is a full-time position working out of our Reston, VA office, and reporting to the Director of Patient Financial Services.

Essential Job Responsibilities

Manage insurance accounts receivable, including timely, follow up of denied claims, contacting insurance companies for the status of claims, and preparation of appeals.

Manage patient accounts receivable, including corresponding with patients to resolve account inquiries and establish payment plans.

Prepare accounts for an external collection agency.

Prepare claims for submission including charge entry and submission of electronic and paper claims.

Identify trends in denials and opportunities for improvement in the billing process.

Provide an excellent standard of customer service when communicating with patients to resolve all inquiries regarding billing, outstanding balance, or overall account status.

Responsible for reviewing patient records, including operative reports and procedure notes, for correct coding, appropriate documentation, and compliance with industry guidelines and standards.

Job Requirements

Bachelors degree in business or related field, post-graduate degree preferred

1-3 years of billing experience in the health care industry

Candidate should be familiar with HCFA 1500, UB 92, CPT, and ICD coding rules

Solution-oriented problem solver, helpful and strong organizational skills

Preferred experience in physician billing with an emphasis on collections

Proficient with oral and written communication, articulate, professional, and friendly