Patient Financial Representative

Baycare; Largo (FL); On-site; USD 42,000 - 55,000; Full time

Job summary

BayCare in Largo, FL is seeking a Patient Financial Representative II to perform patient accounting tasks with emphasis on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting. You’ll review EOBs, support payer communications, and ensure timely reimbursement.

Required: high school diploma or GED and at least 1 year of customer service experience. Strong communication and organizational skills are essential in a fast-paced healthcare

Qualifications

• High School Diploma or GED required.
• Minimum 1 year of customer service experience.
• No certifications or licenses required.
• Strong interpersonal, communication, organizational and professional etiquette skills.

Responsibilities

• Perform patient accounting tasks with focus on accounts receivable follow-up.
• Handle insurance collections, claim resolution and denial management.
• Post cash and respond to billing inquiries from patients and payers.
• Document patient account activity and apply billing guideline changes.
• Research payer portals, EOBs and eligibility issues; support denial research.

Skills

Interpersonal skills

Clear communication

Organizational skills

Professional etiquette

Education

High School Diploma or GED Equivalent

Tools

Payer portals

Cash posting

Job description

US:Florida:Largo:HomeCare Largo | Business and Administrative | Full Time

Description

Why BayCare?

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.

• Facility: BayCare Health System, Patient Accounts-HC
• Location: HomeCare Largo
• Status: Full Time, Exempt: No
• Shift Hours: 8-430pm
• Shift: Shift 1
• Shift 1 = Days, 2 = Evenings, 3 = Nights, 4 = Varies
• On Call: No
• How often will this team member be working remotely? Always

Position Summary

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.

Additional responsibilities include billing, collections, customer service, payment posting, and cash applications; documenting patient account activity; responding to customer billing inquiries; implementing billing guideline changes; identifying payer-specific trends; and applying federal and state guidelines to collection efforts. The Patient Financial Representative II also interprets and follows up on Explanation of Benefits (EOBs), reviews claims through payer portals, communicates with insurance providers and patients regarding billing and claims, researches and resolves denials, and performs other duties as assigned.

Required Qualifications

Education

• High School Diploma or GED Equivalent required

Experience

• Required: 1 year of customer service experience

Certifications & Licensures

• None required

Other Requirements

• Interpersonal skills
• Ability to communicate clearly
• Organizational skills
• Professional etiquette, respect, and courtesy with others

Preferred Skills & Knowledge

• 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
• Computer skills appropriate to the position
• 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

BayCare Offers a Competitive Total Rewards Package, Including:

• Medical, Dental, and Vision Benefits
• Paid Time Off (PTO)
• Tuition Assistance
• 401(k) Match and Additional Annual Employer Contribution
• Annual Performance Appraisals and Team Award Bonus Opportunities
• Family Resources and Wellness Programs
• Community Perks and Employee Discounts
• Career Growth and Development Opportunities
• The opportunity to be part of an amazing team and a great place to work

Equal Opportunity Employer Veterans/Disabled