Remote Patient Billing & Claims Specialist

Inova Health System; Virginia; Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health coverage

Retirement match

Education assistance

Mental health support

Paid time off & parental leave

Job summary

Inova Health System is seeking a Patient Financial Services Representative 4 - Customer Service to join the CALL CENTER. This full-time hybrid role runs Monday–Friday, 8:00am–4:00pm, with remote eligibility for VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

You will edit, submit and follow up on claims for multiple payer types, support team members, and help ensure timely processing and quality standards while maintaining patient-focused service.

Qualifications

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

Responsibilities

• Submit clean claims the day received with attachments and in the correct medium.
• Resolve complex issues by coordinating information with team members, accountsstaff, other hospital departments, or payers.
• Review claims and ensure corrections or resolutions within 24 hours of receipt.
• Handle complex/high-dollar accounts with appropriate follow-up.
• Document all account activity within 48 hours of receipt.
• Document activity in HealthQuest and TRAC accurately and professionally.
• Work payer response and rejection reports, maintaining knowledge of payer requirements.
• Takes direction from management and may cover in absence of supervisor or manager.
• May perform additional duties as assigned.

Skills

Customer service

Bilingual (English/Spanish)

Education

Associate degree or 3 years related experience

Tools

EPIC

Job description

Inova Health System is seeking a Patient Financial Services Representative 4 - Customer Service to join the CALL CENTER. This full-time hybrid role runs Monday–Friday, 8:00am–4:00pm, with remote eligibility for VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

You will edit, submit and follow up on claims for multiple payer types, support team members, and help ensure timely processing and quality standards while maintaining patient-focused service.