Patient Financial Services Representative 4

Inova Health System; Fairfax (VA); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Retirement matching

Tuition assistance

Student loan assistance

Mental health support

Flexible work schedules

Job summary

Inova Health System is seeking a dedicated Patient Financial Services Representative 4 for a full-time hybrid role. You will ensure timely submission of clean claims, resolve complex payer issues, and maintain accurate account documentation while supporting team performance.

Ideal candidates will have an Associate degree or equivalent experience, and at least 3 years in revenue cycle, finance, or customer service.

Qualifications

• Associate degree or 3 years of related experience.
• At least 3 years of revenue cycle, finance, customer service, or data analytics experience.

Responsibilities

• Submit clean claims the same day they are received with attachments per guidelines.
• Resolve complex issues by coordinating with team members and payer contacts.
• Review claims, identify corrections, and provide guidance to teammates within 24 hours.
• Handle high-dollar accounts with appropriate follow-up per protocol.
• Document all account activity and respond within 48 hours.
• Work payer response and rejection reports meeting productivity and quality standards.
• Take direction from management and mentor others as needed.
• May perform additional duties as assigned.

Skills

Customer service

Revenue cycle

Finance

Problem solving

Education

Associate degree or 3 years related experience

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