Community Health/Patient Financial Services Representative

Position Overview:

Palo Alto County Health System (PACHS) is seeking a detail-oriented Patient Financial Services Representative to join our Business Office team. This role is responsible for billing insurance payers and self-pay accounts, ensuring accurate and timely claims processing, and maximizing reimbursement for services provided. The ideal candidate will have strong organizational skills, knowledge of medical billing practices, and a commitment to excellent customer service.

Key Responsibilities:

• Verify and scan patient identification data for billing preparation.
• Submit accurate claims to payers electronically using claim scrubber and editing software.
• Access payer systems (FISS, C-SNAP) to correct claims and respond to development requests.
• Investigate and report payer denials/non-covered charges for compliance.
• Download and process remittance advice, prepare deposits, and balance receipts.
• Resolve patient inquiries regarding billing and insurance coverage.
• Sort and distribute incoming mail; prepare and deliver outgoing mail and deposits.
• Complete audit reports prior to annual audit.
• Maintain accurate patient billing records and update information as needed.
• Perform additional duties such as petty cash management, Medicaid billing, and pharmacy charge entry as assigned.

Requirements:

• High School diploma or GED required.
• 1-year post-secondary education in business or secretarial program preferred.
• Courses in business and medical terminology desirable.

Preferred Experience:

• 6 months to 1 year of experience in medical insurance billing, Medicare/Medicaid guidelines.
• Previous billing experience in a healthcare setting preferred.

Knowledge and Skills:

• Strong understanding of medical billing processes and payer rules.
• High-level computer proficiency and ability to work with multiple systems.
• Excellent communication skills (oral and written).
• Strong organizational, time management, and multitasking abilities.
• Ability to maintain positive customer relations and resolve complex issues.

Benefits:

• Medical, dental, and vision insurance
• Company-paid disability
• IPERS (Iowa Public Employees Retirement System)
• Life insurance
• Paid time off (PTO)
• Continuing education support and wellness programs
• Relocation assistance

About PACHS:

Palo Alto County Health System (PACHS) is committed to providing compassionate, innovative Lifecare services to our community. We value teamwork, respect, and excellence in patient care. Join our Business Office team and help ensure financial processes run smoothly for patients and providers.