We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality, and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Patient Financial Services Representative 4 - Business Support
Location
United States
Posted
7 days ago
Salary
Not specified
Job Description
Role Description
Inova Health is looking for a dedicated Patient Financial Services Representative 4 - Business Support to join the team. This role will be full-time day shift from Monday - Friday, 8:00am - 5:00pm, Remote Role.
Remote Eligibility: This position is eligible for remote work for candidates residing in the following states:
- VA
- MD
- DC
- DE
- FL
- GA
- NC
- OH
- PA
- SC
- TN
- TX
- WV
The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for:
- Timely and accurate editing, submission, and/or follow-up of assigned claims.
- Processing claims for multiple payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensuring that all assigned claims meet clearinghouse and/or payer processing criteria.
- Ensuring appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards.
- Informing management of issues and potential resolutions regarding problems with the claims process.
- Providing support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager.
Qualifications
- Associate Degree or an additional three years of experience appropriate to the position under consideration.
- 3 years of experience in revenue cycle, finance, customer service, or data analytics.
Requirements
- Demonstrated experience in handling payer correspondence, denial letters, and Explanation of Benefits (EOBs), with the ability to interpret and respond appropriately.
- Proficiency with electronic health record (EHR) and billing systems (e.g., Epic Resolute Hospital Billing, Cerner, Meditech).
- Familiarity with accounts receivable workflows and follow-up processes in hospital billing settings, including government, managed care, and commercial insurance.
- Analytical & Problem-Solving Skills: Ability to analyze patient accounts, identify discrepancies, and resolve billing or insurance issues effectively.
Benefits
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules.
Company Description
We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality, and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Job Requirements
- Associate Degree or an additional three years of experience appropriate to the position under consideration.
- 3 years of experience in revenue cycle, finance, customer service, or data analytics.
- Demonstrated experience in handling payer correspondence, denial letters, and Explanation of Benefits (EOBs), with the ability to interpret and respond appropriately.
- Proficiency with electronic health record (EHR) and billing systems (e.g., Epic Resolute Hospital Billing, Cerner, Meditech).
- Familiarity with accounts receivable workflows and follow-up processes in hospital billing settings, including government, managed care, and commercial insurance.
- Analytical & Problem-Solving Skills: Ability to analyze patient accounts, identify discrepancies, and resolve billing or insurance issues effectively.
Benefits
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules.
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