Patient Financial Services Representative I

About the role

Full time (40 hours weekly) Monday‑Friday dayshift. Completes assigned revenue cycle tasks. Assists in the completion of submitting electronic and/or manual insurance claims, resolves claim edits, performs insurance account follow‑up, researches claim denials for resolution and submits disputes and appeals when necessary. Represents the System in a professional manner while interacting with peers, leaders, patients, and third‑party payers to achieve timely payment on accounts in accordance with current government and payer regulations.

Responsibilities

• Conducts timely follow-up on patient accounts billed to insurance companies to determine reasons for delayed or missing payments.
• Investigates denied or rejected claims, reviews insurance remittance advice, and identifies reasons for denial.
• Collaborates with insurance carriers, internal billing teams, and other stakeholders to obtain necessary information and documentation to resolve claims.
• Documents findings and actions taken to resolve denials or