1 Patient Financial Services Rep 3 Job in Fairfax, VA
Inova is Hiring a Patient Financial Services Rep 3 Near Fairfax, VA
The Patient Financial Services Representative 3 performs the duties of a Patient Financial Services Representative 2 and is responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Processes claims for at least two payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensures that all assigned claims meet clearinghouse and/or payer processing criteria. Ensures appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards. Provides team management with issues regarding the claims follow-up process. Ensures that payer response reports and rejection reports are worked on in a timely and meet departmental productivity and quality review standards.
100% Remote Role ; Some Weekends are Required
Job Responsibilities
- Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments. Reviews claims, identifies/makes corrections or initiates resolution within 24 hours of the date the claim was received.
- Documents and reports claims submission issues immediately and provides feedback to team management regarding issues and wins.
- Provides resolution for pending (WIP backlog) claims within allowable timeframes, as defined for appropriate deficiency, and/or provides appropriate account follow-up based on established protocol or SRGs.
- Completes write-off requests and submits to supervisor for daily review.
- Appropriately documents activity in HealthQuest and TRAC.
- Completes and submits all daily, weekly, and monthly reports with minimal errors.
- Maintains knowledge of payer requirements, UB-04 standards, and system (i.e. Hospital, clearinghouse, payer) functionality in addition to Hospital policies and procedures.
- Ensures documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards.
- May perform additional duties as assigned.
Additional Requirements
Experience - Two years of experience in revenue cycle, finance, customer service or data analytics
Education - High School or GED
Job Summary
Full Time
Hospital
$46k-56k (estimate)
06/04/2024
08/03/2024
inova.org
FALLS CHURCH, VA
7,500 - 15,000
Private
JOHN KNOX SINGLETON
$3B - $5B
Hospital
Related Companies
The job skills required for Patient Financial Services Rep 3 include Customer Service, Managed Care, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Financial Services Rep 3. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Financial Services Rep 3. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Patient Financial Services Rep 3 positions, which can be used as a reference in future career path planning. As a Patient Financial Services Rep 3, it can be promoted into senior positions as a Patient Referral Specialist that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Financial Services Rep 3. You can explore the career advancement for a Patient Financial Services Rep 3 below and select your interested title to get hiring information.
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