WellSpan Health · 1 hour ago
Patient Financial Services Representative I - York - Days
601 Memory Ln, York, PA, 17402, US
Full-time
Hybrid
Entry Level
1+ years expWellSpan Health is an integrated delivery system focused on value-based care, providing comprehensive health and wellness solutions. The Patient Financial Services Representative I will complete assigned revenue cycle tasks, assist in submitting insurance claims, resolve claim edits, and manage follow-up with insurance companies to ensure timely payment on accounts.
Health CareHospitalMedical
Responsibilities
Corrects financial and demographic information that has been inaccurately entered into Epic
Performs various functions to complete and expedite the billing process including: • Reviews and submits Hospital and/or Physician claim forms (UB04, 1500, etc) to insurance companies via electronic or manual processes and facilitates special billing for split claims, ancillary charges, interim bills, etc.• Resolves Claim edits to facilitate timely billing and reimbursement.• Performs follow-up with insurance companies to obtain claim status, payment information and to resolve claim discrepancies.• Submits itemized bills, medical records, and corrected claims as needed.• Reviews remittance advice (835) to ensure proper reimbursement.• Accesses external payer sites for payer policies, claim investigations, and claim disputes
Reviews accounts and coordinates with appropriate departments on accounts requiring precertification, preauthorization, referral forms and other requirements related to managed care
Makes written and/or verbal inquiries to third party payers to reconcile patient accounts. Follows up on accounts until zero balance or turned over for collection
Reviews third party payer payments and investigates accounts not paid as expected. Takes appropriate corrective action to include follow up, rebilling, and/or adjustment of contractual allowances
Answers all inquiries regarding patient accounts
Maintains appropriate records, reports, and files as required
Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards
Participates in educational programs and in-service meetings
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation
Qualification
Required
High School Diploma or GED Required
1 year Required
Excellent communication and interpersonal skills
Familiarity with payer rules and policies
Familiarity with healthcare billing systems (Epic preferred)
Familiarity with medical and billing terms to help interpret edit resolution, claims remittance advice, medical record documentation and payer medical/payment policies
Preferred
Familiarity with healthcare billing systems (Epic preferred)
Benefits
Comprehensive health benefits
Flexible spending and health savings accounts
Retirement savings plan
Paid time off (PTO)
Short-term disability
Education assistance
Financial education and support, including DailyPay
Wellness and Wellbeing programs
Caregiver support via Wellthy
Childcare referral service via Wellthy
Company
WellSpan Health
WellSpan Health is an integrated health system that serves the communities of central Pennsylvania.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
W
William White
Vice President of Public Safety
Recent News
2026-01-09
2025-12-18
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