Patient Financial Services Representative
- Saint Louis, MO
- Permanent
- Full-time
Job Location Type: RemoteYour experience mattersAt Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those in our facilities who are interfacing and providing care to our patients and community members - positively impacting our mission of making communities healthier®.More about our teamOur Patient Financial Services (PFS) team is dedicated to ensuring accurate billing and collections while supporting the financial stability of our facilities. We focus on collaboration, accuracy, and efficiency, offering opportunities to develop expertise in complex billing, appeals, and payer relations while contributing to the success of our hospitals.How you'll contributeA Patient Financial Services Representative (PFSR) who excels in this role:Completes and submits insurance claims for hospital billable services (paper and electronic).Follows up on claims to ensure payments are received promptly and accurately.Works Medicare rejections from IVANS daily and rekeys via the DDE system.Maintains knowledge of CMS billing rules and regulations.Manages complex billing issues to resolution.Maintains and submits the Medicare Bad Debt Log, including review of Medicaid remits for qualifying accounts and agency returns.Manages the Patient Financial Services Denial Log.Responsible for primary Medicare First Level Appeal submissions after approval from PFSD leadership.Develops and maintains relationships with third-party payers and vendors to maximize cash flow.Responds to patient inquiries regarding hospital charges, insurance payments, or coverage.Adheres to HIPAA standards and ensures confidentiality in all processes.Why join usWe believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package with company match.Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).Professional Development: Ongoing learning and career advancement opportunities.What we're looking forApplicants should have proven experience in patient financial services or insurance billing. Additional requirements include:Education: High school diploma or equivalent required; Associate's degree or higher preferred.Experience: Minimum of 4 years in insurance billing/follow-up required; coding experience preferred.Skills:Excellent oral and written communication skills.Strong problem-solving abilities and ability to work in a fast-paced environment.Ability to maintain positive working relationships with staff, medical personnel, and third-party payers.Strong organizational skills and attention to detail.EEOC Statement
Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.Employment Sponsorship Statement
You must be authorized to work in the United States without employer sponsorship.About Us: Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.About the Team: We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.