Patient Financial Services Specialist - Remote

Signature Performance; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare solutions provider is seeking a Patient Financial Services Specialist to handle claims, ensure proper reimbursement, and maintain high standards of productivity and quality. This fully remote position requires expertise in healthcare revenue cycles and strong communication skills, with a focus on collaboration and professionalism. Competitive pay and robust benefits are offered.

Benefits

Health Insurance

Fully Paid Life Insurance

Paid Vacation

401(k) with Employer Match

Qualifications

• Must have 1+ years of health care revenue cycle experience.
• General knowledge of CPT/HCPCS and ICD.10 coding requirements.
• Strong communication skills both written and verbal.

Responsibilities

• Call payers to understand claim status.
• Review and resolve denied claims.
• Document actions clearly in EHR systems.

Skills

Health care revenue cycle experience

Attention to detail

Communication skills

Team orientation

Education

1+ years of relevant experience

Knowledge of CPT/HCPCS and ICD.10 coding

Tools

Microsoft Office Suite

Job description

Position Description

Seeking Candidates for Future Opportunities! We are building a talent pipeline for Patient Financial Services Specialist roles, including Cash Receivables, Follow-Up, Medical Billing, Prior Authorization, Patient Accounting and more!

• Starting Compensation: $22/hour+
• Work Location: United States, Remote Nationwide

ABOUT YOU

You are a person who loves to research and evaluate claims for proper reimbursement. We need someone who can meet quality and productivity standards set by Signature and/or our client. In the role of Patient Financial Services Specialist, you\'ll be responsible for calling payers and using probing questions to understand the claim status. If you can put your signature on this, we can\'t wait to hear from you.

• Tell us about your experience with Patient Financial Services.
• Are you a team player and a self-motivator?
• What is your experience with conducting business in a way that is a credit to a company?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We\'re looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we can\'t wait to meet you.

ABOUT THE POSITION

The people you will work with are exceptional. Here is what you can look forward to, and why you\'ll LOVE YOUR MONDAYS.

• Call payers and use probing questions to understand the claim status.
• Review denied claims on payer portals or EOBs and take necessary steps to resolve the denial that are outlined by the client or management.
• Clearly document multiple EHR systems to ensure clear understanding of actions taken to resolve the claim.
• Write, submit and follow up on appeals for denied claims.
• Meet quality and productivity standards set by Signature and/or our client.
• Review billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc). Clearing all edits necessary for clean claim submission.
• Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission.
• Review and understand EOBs/RAs (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities).
• Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems.
• Contact insurance plans and government entities using online systems, email, and phone to resolve unpaid claims.
• Providing data to management on trends found with payers in claims adjudication process affecting claims payment.
• Provide excellent customer service in keeping with Signature\'s legacy both internal and externally.
• Assist with process design and redesign as needed for Signature\'s client
• Maintain expertise in multiple current client systems.
• Maintain up to date knowledge of revenue cycle management, industry trends perform other duties as necessary.
• Acts as an effective team member.
• Other duties may be assigned.

Position Requirements

• 1+ years of health care revenue cycle experience within a physician office, hospital, or insurance plan claims processing unit.
• General knowledge of CPT/HCPCS and ICD.10 coding requirements
• Strong attention to detail outstanding written and verbal communication skills
• Computer proficiency including Microsoft Office, Word, Excel and Outlook
• Ability to function effectively in a fast-paced environment.
• Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value.
• Desire to participate in revenue cycle training and career advancement opportunities

ABOUT US

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients\' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

ABOUT THE BENEFITS

We\'re proud to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust in you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more.

• Health Insurance for Our Associates
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match
• Referral Bonuses
• Hybrid & Remote Opportunities

Security Requirements

• U.S. Citizenship or naturalized citizenship is required for this position.
• All work on all position at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Work Schedule

Available Schedules in CST, Monday through Friday 6am to 6pm

Compensation Range

$22/hour+

Position Type

Full Time