The Patient Financial Specialist is responsible for all aspects of the organization’s revenue cycle, including claims submission, coding, payment posting, denial management, and account receivables follow-up. This position requires a candidate with a strong medical billing background as well as exceptional customer service skills and phone etiquette. This is a full-time position working out of our Reston, VA office, and reporting to the Director of Patient Financial Services.

Essential Job Responsibilities

• Manage insurance accounts receivable, including timely, follow up of denied claims, contacting insurance companies for the status of claims, and preparation of appeals.
• Manage patient accounts receivable, including corresponding with patients to resolve account inquiries and establish payment plans. 
• Prepare accounts for an external collection agency.
• Prepare claims for submission including charge entry and submission of electronic and paper claims.
• Identify trends in denials and opportunities for improvement in the billing process.
• Provide an excellent standard of customer service when communicating with patients to resolve all inquiries regarding billing, outstanding balance, or overall account status.
• Responsible for reviewing patient records, including operative reports and procedure notes, for correct coding, appropriate documentation, and compliance with industry guidelines and standards.

Job Requirements

• Bachelors degree in business or related field, post-graduate degree preferred
• 1-3 years of billing experience in the health care industry
• Candidate should be familiar with HCFA 1500, UB 92, CPT, and ICD coding rules
• Solution-oriented problem solver, helpful and strong organizational skills
• Preferred experience in physician billing with an emphasis on collections
• Proficient with oral and written communication, articulate, professional, and friendly