Patient Financial Services Representative 4

Inova Health; Fairfax (VA); Hybrid; USD 52,000 - 70,000; Full time

Benefits offered by this job

Health coverage

Retirement match

Education assistance

Mental health support

Paid time off & parental leave

Flexible schedules

Remote/hybrid opportunities

Job summary

Inova Health is seeking a Patient Financial Services Representative 4 in a full-time hybrid role in the Virginia area. The role focuses on timely claims submission, issue resolution, and payer communications to ensure accurate billing and prompt reimbursement.

The position requires 3+ years in revenue cycle or related fields, an associate degree, and strong attention to detail. It offers a hybrid schedule, competitive benefits, and opportunities for professional growth within the Inova system.

Qualifications

• Education - Associate Degree or 3 years of related experience.
• 3 years of experience in revenue cycle, finance, customer service or data analytics.

Responsibilities

• Ensures clean claims submitted the day they are received with required attachments.
• Resolves complex issues by coordinating with team members and other hospital departments.
• Ensures claims are reviewed and resolutions initiated within 24 hours of receipt.
• Handles complex accounts and follows up per established protocol.
• Documents all account activity and handles correspondence within 48 hours.
• Maintains knowledge of payer requirements, system functionality and hospital policies.
• Takes direction from management and supports team members.

Skills

Revenue cycle experience

Customer service

Data analytics

Team coordination

Education

Associate degree

Tools

Hospital billing systems

Job description

Inova is looking for a dedicated Patient Financial Services Representative 4 to join the team. This role will be full-time hybrid.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities

Job Responsibilities:

• Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments following the Transplant contract guidelines.
• Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed.
• Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity.
• Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs.
• Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt.
• Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures.
• Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members.
• May perform additional duties as assigned.

Additional Requirements:

• Education - Associate Degree or an additional three years of experience appropriate to the position under consideration.
• Experience - 3 years of Experience in revenue cycle, finance, customer service or data analytics.

Preferred Qualifications:

• Claims and Follow Up