Patient Financial Services Rep / UKHC

Patient Financial Services Representative

The Patient Financial Services Representative is responsible for managing insurance claim follow-up and resolution to ensure timely and accurate reimbursement. This role includes investigating and appealing denials, resubmitting claims, communicating with payers, and identifying trends impacting revenue. Representatives are expected to meet established productivity and quality standards while maintaining accurate documentation in departmental systems and following defined workflows. Strong organizational skills, revenue cycle knowledge, attention to detail, and effective communication are essential. The position also requires compliance with HIPAA regulations, completion of required trainings, and adherence to departmental policies and professional workplace standards.

Skills / Knowledge / Abilities : The ideal candidate will be customer service oriented and possess strong revenue cycle knowledge with a HB denial handling. They should have in-depth HIPAA knowledge and a high level of respect for confidentiality, with the ability to multi-task while maintaining accuracy and attention to detail. Proficiency in Epic, payer portals, and electronic billing systems is essential, along with Microsoft Office skills including Outlook, Word, Excel, and PowerPoint. The candidate must demonstrate excellent written and verbal communication skills, strong time management, critical thinking, follow-through, and organizational abilities to meet productivity standards. Success in this role requires adaptability to evolving payer rules, solid problem-solving skills to analyze and resolve denials, and the professionalism to ensure compliance and accurate documentation at all times.

Preferred Education / Experience : 3-4 years of insurance claims and billing. Previous experience working with patient accounts / HIPAA highly preferred.

The University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.