Patient Financial Advisor

APR Consulting; Rockville (MD); On-site; USD 33,000 - 47,000; Full time

Job summary

APR Consulting, Inc. seeks a Patient Financial Advisor in Rockville, MD to perform pre-service benefits verification and obtain prior authorizations for rehabilitation services. This 13-week onsite role requires attention to detail and clear communication with patients and providers.

The position offers a 40-hour work week, Monday–Friday, with some schedule flexibility and no weekend coverage, and may transition to permanent placement. Vaccination proof may be required per client policy.

Qualifications

• High school diploma or equivalent required; some college preferred.
• Minimum 2 years in a healthcare financial setting, with insurance eligibility/benefits verification.
• Hands-on prior authorizations experience and ability to determine coverage.
• Experience with rehabilitation services and patient financial obligations is a plus.
• Experience using insurance verification tools and payer portals; Cerner preferred but not required.

Responsibilities

• Perform comprehensive pre-service insurance eligibility and benefits verification for rehabilitation services.
• Review coverage for physical, occupational, and speech therapies and determine authorizations when needed.
• Identify payer requirements, limits, and patient financial responsibility including deductibles and coinsurance.
• Obtain necessary prior authorizations and verify benefits through available portals/tools.
• Communicate with physicians, clinical teams, and departments to gather needed information.
• Document findings accurately and follow up on outstanding verification items.

Skills

Insurance verification

Prior authorizations

Payer portals

Communication

Attention to detail

Education

High school diploma or equivalent

Some college

Tools

Availity

Experian Health

Inovalon

Payer-specific portals

Cerner

Job description

APR Consulting, Inc. has been engaged to identify a Patient Financial Advisor

Location: Rockville, MD 20850

Position: Patient Financial Advisor

Pay Rate: $29/hr

Duration: 13 weeks

Expected Shift: 40 hrs/week

Monday-Friday, 6:30 AM-3:00 PM (some schedule flexibility). No weekend coverage required.

*This position focuses on pre-service insurance benefits verification and prior authorizations. Billing, claims processing, and denials follow-up are handled by separate teams.*

Position Type: 100% Onsite

Contract: 13 Weeks – Temp-to-Perm

Start Date: ASAP

Required Qualifications

Education

• High school diploma or equivalent required.
• Some college preferred.

Experience

• Minimum 2 years of experience in a healthcare financial environment, including insurer or public health settings.
• At least 1 year of hands-on, comprehensive insurance eligibility and benefits verification experience.
• Hands-on experience identifying and obtaining prior authorizations for healthcare services.
• Experience determining covered services, visit limitations, insurance payment responsibilities, and patient financial obligations.
• Experience in rehabilitation (physical therapy, occupational therapy, speech therapy) strongly preferred.
• Experience supporting recurring patient visits in primary care or another outpatient setting may also be considered.

Certifications

• No specific certifications required.

Technical Skills

• Experience using insurance verification resources such as Availity, Experian Health, Inovalon, Medicare resources, or payer-specific portals.
• Ability to independently contact insurance payers by telephone or through direct payer portals when electronic verification tools are unavailable.
• Proficiency with Windows-based computer systems; Microsoft Word and Excel familiarity helpful.
• Cerner experience preferred but not required.

Other Requirements

• Strong attention to detail and ability to accurately interpret insurance benefits and payer requirements.
• Ability to independently manage verification and authorization workflows while meeting departmental deadlines.
• Strong written and verbal communication skills.
• Ability to work independently and collaboratively while maintaining confidentiality.
• Ability to maintain accuracy and productivity in a high-volume healthcare environment.

Key Responsibilities

• Perform comprehensive pre-service insurance eligibility and benefits verification for scheduled inpatient and outpatient rehabilitation services.
• Review insurance coverage for physical therapy, occupational therapy, speech therapy, and other rehabilitation services.
• Identify payer-specific coverage requirements, authorized visit limits, annual benefit limitations, and restrictions affecting recurring treatment appointments.
• Determine insurance coverage, expected payer payment, and patient financial responsibility, including applicable deductibles, copays, and coinsurance.
• Identify when prior authorization is required and obtain necessary authorizations before scheduled services.
• Access Availity, Experian Health, Inovalon, Medicare resources, and payer-specific portals to verify benefits and coverage.
• Contact insurance carriers directly by telephone or through payer portals when electronic verification systems are unavailable or information requires clarification.
• Review scheduled patient information from departmental tracking tools and complete necessary pre-service financial clearance activities.
• Communicate with physician offices, clinical teams, and internal departments to obtain information needed for verification and authorization.
• Assist patients in completing AHC charitable applications at the medical centers.
• Accurately document verification findings, authorization details, visit limitations, and patient financial responsibility.
• Follow up on outstanding pre-service verification or authorization items and escalation unresolved issues appropriately.
• Maintain confidentiality, accuracy, and productivity while supporting efficient rehabilitation operations.
• This position focuses on pre-service insurance benefits verification and prior authorizations. Billing, claims processing, and denials follow-up are handled by separate teams.

Our client is the one of the largest Healthcare Staffing Provider in the United States, to be assigned at one of their affiliated hospitals/healthcare facilities.

This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.

Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.