HJ Staffing · 1 day ago
Patient Financial Representative Senior
San Antonio, TX
Full-time
Onsite
Mid, Senior Level
3+ years expHJ Staffing is seeking a Senior Patient Financial Representative to join our Revenue Cycle team. In this pivotal role, you will ensure the financial health of our organization by driving account resolution and the reconciliation of outstanding patient balances.
Staffing & Recruiting
Responsibilities
Perform functions that meet or exceed key performance metrics (KPIs) and departmental productivity standards
Collect and provide critical patient and payor information to facilitate resolution. Respond to inquiries via written, verbal, or electronic channels
Maintain expert knowledge of insurance, self-pay billing, and third-party regulations. Ensure full compliance with CPT, HCPCS, and ICD-10 coding guidelines
Review and work claim edits, resubmit rejected claims, and identify denial trends to ensure timely turnaround and resolution
Monitor collector queues daily to ensure proper reimbursement and identify/resolve underpayments or credit balances within payor-mandated timelines
Research and post cash payments, resolve unapplied cash, and reconcile daily bank deposits against monthly statements to ensure 100% accuracy
Provide continuous updates to the PFS Leadership Team regarding trends, errors, or issues affecting productivity and the patient experience
Qualification
Required
3–5 years of experience in Collections and Cash Reconciliation within a multi-facility hospital business office environment
Deep understanding of inpatient and outpatient billing requirements, specifically UB-04 and HCFA 1500 billing forms
Strong working knowledge of CPT, HCPCS, and ICD-10 coding regulations
Experience with electronic claims editing, submission capabilities, and patient accounting host systems
Professional and effective written and verbal communication skills are essential for interacting with payors, finance departments, and patients
Company
HJ Staffing
HJ Staffing is a certified Employment Agency, and a Women Owned Minority Business Enterprise (WMBE).
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Constance Jones, MSHRM
President & CEO
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