Patient Financial Services Representative
Hybrid · Nashville, Tennessee, United States
Job Summary
Role focuses on researching and rectifying third-party health insurance denials, appeals for denied claims, and processing corrected claims. Responsible for identifying and analyzing open claims, ensuring compliance with government, commercial, HMO, and PPO billing guidelines across multiple states; collaborates with other departments to maintain aged AR, generates reports, and supports timely turnaround for medical documentation requests. Requires 3+ years in insurance AR, knowledge of payer billing requirements, strong organizational and customer service skills, and ability to work a hybrid schedule in Nashville, TN.
Required Qualifications
- 3+ years of experience in insurance accounts receivable
- Knowledge of payer specific billing requirements
- Highly organized with ability to track workflows
- Attention to detail with strong organizational skills
- Customer service skills to work with insurance companies and teammates
- Maintain integrity and confidentiality of medical information
- Ability to work a hybrid schedule in Nashville, TN (4 days/week in office)
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