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Patient Financial Service Representative 4 - Payer Enrollment
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![]() United States, Virginia, Fairfax | |
![]() 8095 Innovation Park Drive (Show on map) | |
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Inova Center of Personalized Health is looking for a dedicated Patient Financial Services Representative 4 to join the team. This role will be full-time day shift from Monday - Friday, 8:00 a.m. - 5:00 p.m. (Flexible Hours) The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for the timely and accurate editing, submission, and/or follow-up of assigned claims. Processes claim for multiple payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensures that all assigned claims meet clearinghouse and/or payer processing criteria. Ensures appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards. Informs management of issues and potential resolutions regarding problems with the claims process. Provides support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager. 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:
Minimum Qualifications: Education - Associate Degree or an additional three years of experience appropriate to the position under consideration. Preferred Qualifications: Experience with credentialing and payer enrollment processes, including roster submission, reconciliation, and a solid understanding of roster functionality. Familiarity with claim sweeps, claim rebuilds and working across various billing systems. Proficiency in navigating and utilizing provider portals for payer and claims management tasks. Advanced Microsoft Excel skills, including expertise in pivot table creation, data analysis, and complex functions. Demonstrated ability to work independently, prioritize tasks effectively, and act as a self-starter in a fast-paced environment. Remote Eligibility: This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV |