Patient Financial Services Representative 4

Inova Health System; Falls Church (VA); Hybrid; USD 38,000 - 46,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Wellness program

Retirement matching 5%

Tuition and student loan assistance

Mental health support

Paid time off and flexible schedules

Job summary

Inova Health System is seeking a Patient Service Representative 4 for a full-time hybrid role, Monday–Friday in Falls Church, VA. The position emphasizes accurate claims submission, issue resolution, and payer communications, with opportunities in a supportive hospital environment.

Ideal candidates bring healthcare experience (3+ years or a degree with 2+ years) and a High School Diploma or equivalent, with a focus on patient service excellence and team collaboration.

Qualifications

• 3 years of healthcare or relevant experience, or Bachelor's degree with 2 years of healthcare experience.
• High School Diploma or Equivalent required.

Responsibilities

• Submit clean claims the same day with attachments and act in supervisor's absence.
• Resolve complex issues by coordinating with team members and other departments.
• Work payer response and rejection reports meeting productivity/quality standards.
• Provide guidance and support to team members when needed.
• May perform additional duties as assigned.

Skills

Healthcare experience

Education

High School Diploma or Equivalent

Job description

Patient Service Representative 4 | Full-Time Monday through Friday Hybrid

Inova is looking for a dedicated Patient Service Representative to join the team. This role will be Full-Time Monday through Friday 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. Serves in the place of the supervisor or manager in their absence.
• 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.
• 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. Performs duties, as assigned, in the absence of the supervisor or manager.
• May perform additional duties as assigned.

Additional Requirements:

• Experience - 3 years of healthcare or relevant experience. Or Bachelor's degree and 2 years of healthcare or relevant experience.
• Education - High School Diploma or Equivalent