[Hiring] Patient Financial Services Representative 4 - Insurance Follow Up @Inova Health System

Role Description

Inova Health is looking for a dedicated Patient Financial Services Representative 4 - Insurance Follow Up to join our United Healthcare Payer team. This role will be full-time day shift from Monday - Friday, 8:00am - 5:00pm, Remote Role.

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

The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for:

• Timely and accurate editing, submission, and/or follow-up of assigned claims.
• Processing claims for multiple payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensuring compliance with clearinghouse and/or payer processing criteria.
• Ensuring appropriate follow-up on assigned work lists while meeting departmental productivity and quality review standards.
• Informing management of issues and potential resolutions regarding problems with the claims process.
• Providing support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager.

Qualifications

• Associate Degree or an additional three years of experience appropriate to the position under consideration.
• 3 years of Experience in revenue cycle, finance, customer service or data analytics.

Requirements

• Expertise in Insurance Follow-Up Authorizations highly preferred.
• Proficiency in hospital billing systems (e.g., Epic) and insurance verification portals.
• Extensive understanding of Medicaid, Medicare, commercial insurance, and self-pay policies.
• Familiarity with HIPAA regulations and hospital financial assistance programs.
• Ability to analyze patient accounts, identify discrepancies, and resolve billing or insurance issues effectively.

Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules.

Company Description

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.