Patient Financial Services Representative

BBSS Beyond Blue; Lexington (KY); On-site; GBP 31,000 - 46,000; Full time

Job summary

University of Kentucky is seeking a billing specialist to manage moderate-complexity patient account activities to optimize reimbursement and reduce accounts receivable. You will provide expertise in billing, follow-up, collections, and denials resolution to improve financial outcomes.

You will review charges and payments, reconcile balances, communicate with stakeholders, and work with coding, authorization, and utilization teams to close documentation gaps, while maintaining HIPAA compliance.

Qualifications

• Billing and revenue cycle experience in healthcare settings.
• Experience handling payer communications and denials.
• Knowledge of HIPAA and FDCPA compliant practices.

Responsibilities

• Provides expertise in billing, follow-up, collections, and/or denials resolution.
• Reviews charge, payment, and adjustment activity to identify variances and initiate corrective action.
• Reconciles patient balances and payer remittances for accurate posting.
• Communicates estimates, statements, and complex balance questions with stakeholders.
• Collaborates with coding and utilization teams to address documentation gaps.
• Maintains HIPAA, FDCPA, and payer contract compliance.

Skills

Billing

Follow-up

Collections

Denials resolution

Charge review

Payment reconciliation

Communication

Cross-functional collaboration

HIPAA compliance

Accuracy

Education

High school diploma

Job description

Job Summary

Responsible for managing moderate-complexity patient account activities to optimize reimbursement and reduce accounts receivable. Provides expertise in billing, follow-up, collections, and/or denials resolution to improve financial outcomes. Ensures accuracy of charge, claim, and payment data through reviews and targeted corrections. Recommends workflow improvements, reporting insights, and queue management practices that elevate productivity. Coordinates cross-functional problem solving with coding, clinical, and payer partners to support organizational financial objectives.

Essential Functions

• Provides expertise in billing, follow-up, collections, and/or denials resolution. Performs timely follow-up on outstanding claims and appeals to meet aging and recovery targets.
• Reviews charge, payment, and adjustment activity to identify variances and initiate corrective action.
• Reconciles patient balances and payer remittances to ensure accurate application of payments and adjustments.
• Communicates professionally with stakeholders regarding estimates, statements, and complex balance questions.
• Collaborates with coding, authorization, and utilization review teams to resolve documentation and coverage gaps.
• Maintains compliance with HIPAA, FDCPA, and payer contract provisions in all actions.
• Performs other duties as assigned.

Education Requirement

High school diploma or equivalent

Experience Requirement

2-3 years of experience An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never
• C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)
• E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)
• G. Repetitive motion:3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:1. Never
• I. Working in confined spaces:1. Never
• J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)
• K. Job-related travel:2. Occasional (< 10% of the time)
• L. Loud noises:1. Never
• M. Temperature extremes:1. Never
• N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)
• O. Radiation:1. Never
• P. Burns:1. Never
• Q. Cuts/Punctures:2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors:1. Never
• T. Combative/violent people:1. Never
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Our University Community

We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Our Work Experience

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it! Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.