Patient Financial Services Associate

RHI Rehab; Indianapolis (IN); On-site; USD 45,000 - 65,000; Full time

Job summary

The Rehabilitation Hospital of Indiana (RHI) is seeking a Billing Specialist to join its unified Patient Financial Services team. This role focuses on claim review, bill editing and submission, payment follow-up, denials management, and posting payments within a patient-first service culture.

The incumbent will work to ensure accurate coding, timely submissions, and compliance with HIPAA while supporting hospital revenue cycle objectives and quality standards.

Qualifications

• Minimum three years of experience in a health care environment working in either physician's office or hospital setting with insurance verification, insurance billing and collections from governmental and third-party payers.
• Billing/coding externship will be considered.
• Medical terminology and billing experience preferred.

Responsibilities

• Review and process patient claims with correct codes and payer requirements.
• Audit pre-bill claims and print non-electronic claims for mailing the same day.
• Process insurance claims for Blue Cross, Medicaid, Medicare and other commercial payers.
• Follow up on delinquent accounts and balance collections; monitor Medicare and worker's comp aging.
• Post payments daily and balance to deposits; adjust postings as needed.
• Maintain HIPAA compliance and protect patient health information.
• Provide excellent customer service to patients, coworkers, and providers; respond to needs promptly.
• Participate in quality improvement activities to meet regulatory standards.

Education

High School Diploma or Equivalent

Medical Terminology and Billing Experience Preferred

Job description

The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. We specialize in the areas of brain injury, stroke, spinal cord injury and complex medical conditions. We offer inpatient and outpatient rehabilitation services to patients 15 years of age and older.

SUMMARY/PURPOSE OF JOB

RHI has created a unified Patient Financial Services department with revenue cycle responsibility for all aspects of cash posting, insurance clearance, insurance billing and collection. This position is responsible for patient claim review, bill editing and submission, payment follow-up, denials management, credit balances and payment posting.

The incumbent is expected to function as part of the RHI revenue management team and meet performance standards for all assigned duties.

Team members will understand and exhibit the principals of service excellence, leads by example, and mentors' others in the performance of their assigned duties. Additionally, understands that every employee is responsible for exhibiting exceptional customer service by answering call lights on the nursing unit and if not able to assist personally, will inform the appropriate employee regarding the patient's need.

Team members are expected to understand the role of employee's individual position regarding HIPAA requirements and level of access to Protected Health Information as defined in HIPAA hospital-wide policies.

Understands that it is the responsibility of every RHI staff member to provide patient safety as a priority response according to RHI evidence-based practices. Encourage patients to be actively involved in their own care as patient safety strategy.

JOB DUTIES/ESSENTIAL FUNCTIONS

Claim scrubbing

• Understands payer requirements to process clean claims
• Performs pre-bill claim audits
• Prints non-electronic claims and mails out same day.

Billing functions

• Processes Blue Cross, Medicaid, Medicare, and other commercial insurance claims using appropriate revenue codes for the claim. Reviews accounts which were rejected due to improper codes by reviewing and/or obtaining the proper ICD9 and CPT codes for the claim. Completes rejected claims properly and submits to insurance carrier.
• Prepares claims for third party submission according to the insurance policy coverage guidelines

Payer Functions

• Reviews the delinquent account work list for accounts with balances over 45 days old. Follows up and collects accounts. Reviews the work list for Medicare and worker's compensation accounts over 30 days old.
• Follows up and collects all secondary bills. Contacts insurance companies to collect delinquent accounts by phone. Sets up schedule for patients to pay large balances on accounts according to hospital policy. Rebills as necessary.

Credit balance

• Analyzes patient accounts with credit balances to determine adjustments or refunds required.
• Compiles Medicare balance report quarterly
• Works with Blue Cross credit balance auditors on payment corrections
• Submits necessary paperwork to Accounts Payable for processing refund checks as necessary.

Payment and adjustment posting

• Post electronic payments daily; balances to the check amount
• Manually posts PNC lockbox balancing to the deposit amount
• Manually posts all adjustments requests submitted by billing personnel.
• Utilizes the accurate contractual adjustment code

Employee is focused on providing customer satisfaction (including, but not limited to, patients, co-workers, visitors, vendors and physicians) as a primary goal/outcome of all interactions; places customer first in the performance of job duties and responds to needs in a timely manner as evidenced by the absence of legitimate customer complaints.

• Participates in continuous quality improvement/programs evaluation activities and observes measures to ensure Hospital, Joint Commission, CARF and other quality standards and regulations are met.
• Uses appropriate technique in performing duties to avoid or minimize accidents and injury related to unsafe practice. Proactively seeks information and resources, including the Environment of Care Manual, to aid in safe performance of duties to contribute to the RHI culture of safety.
• Other duties as assigned.

KNOWLEDGE, SKILLS, ABILITIES

• Requires general knowledge and understanding of departmental activities and procedures. Requires knowledge of where to obtain required data to process claims.

EXPERIENCE

• Minimum three years of experience in a health care environment working in either physician's office or hospital setting working with insurance verification, insurance billing and collections from governmental and third-party payers. Additional experience with self-pay collections is helpful. Billing/coding externship will be considered.

EDUCATION

• High school graduate or equivalent. Medical terminology and billing experience preferred.

HOURS

• Monday-Friday 7:30 AM-4:00 PM

The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.