Patient Financial Service Representative 4 - Customer Service Processing

Inova Center of Personalized Health is looking for a dedicated Patient Financial Services Representative 4 - Customer Service Processing to join the team. This role will be full-time day shift from Monday - Friday, 9 : 00am - 5 : 00pm, Remote Role

The Patient Financial Services Representative 4 performs the duties of a Patient Financial Services Representative 3 and is responsible for the timely and accurate editing, submission, and / or follow-up of assigned claims. Processes claim for multiple payer types (i.e. Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensures that all assigned claims meet clearinghouse and / or payer processing criteria. Ensures appropriate follow-up on assigned work lists while meeting all departmental productivity and quality review standards. Informs management of issues and potential resolutions regarding problems with the claims process. Provides support, education, and guidance to team members while performing duties, as assigned, in the absence of the supervisor or manager.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured 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

Patient Financial Services Representative 4 Job Responsibilities :

Minimum Qualifications :

Preferred Qualifications

Process high-volume customer service work queues in EPIC to resolve patient account issues quickly and accurately.

Deliver exceptional service by addressing patient inquiries with professionalism, empathy, and clear communication via phone, portal, and email.

Review, update, and maintain patient account details in EPIC while adhering to department SLAs and quality standards.

Assist patients with billing questions, insurance coverage, payment plans, and financial responsibilities to support a positive experience.

Review and interpret Explanations of Benefits (EOBs) to identify and resolve discrepancies; document actions and outcomes in work queues.

Collaborate with payers to verify coverage, follow up on claims, and drive timely resolution of billing concerns; escalate complex issues as needed.

Perform effectively in a remote environment, maintaining productivity, confidentiality, and accountability.

Preferred : Bilingual (English / Spanish) to support a diverse patient population and enhance service accessibility.

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