Patient Financial Representative

BayCare Health System · Largo, FL · 4 days ago

On-siteHealthcareFull-time

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers, and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.

About the role

The Patient Financial Representative II is responsible for performing a variety of patient accounting functions with a strong focus on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting activities. This role works to ensure timely reimbursement by reviewing outstanding accounts, resolving billing issues, and following up with insurance carriers and patients regarding claim status and outstanding balances.

Billing, collections, and customer service
Payment posting and cash applications
Documenting patient account activity
Responding to customer billing inquiries
Implementing billing guideline changes
Identifying payer-specific trends
Applying federal and state guidelines to collection efforts
Interpreting and following up on Explanation of Benefits (EOBs)
Reviewing claims through payer portals
Communicating with insurance providers and patients regarding billing and claims
Researching and resolving denials

Requirements

High School Diploma or GED equivalent
1 year of customer service experience
Interpersonal skills and ability to communicate clearly
Computer and organizational skills
Professional etiquette, respect, and courtesy with others

Preferred Qualifications

Customer service, administrative, and clerical skills
Organizational skills and attention to detail
Knowledge of regulatory standards appropriate to the position
Medical terminology knowledge and understanding
Strong written and verbal communication skills
Ability to work collaboratively within a team environment
Experience with payer portals, insurance follow-up, claim resolution, denial management, EOB review, and cash posting
Knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes

Schedule

Full-time, non-exempt position. Shift hours: 8:00 AM – 4:30 PM (Shift 1 – Days). No weekend work or on-call requirements. This position is fully remote.

Benefits