Note: The job is a remote job and is open to candidates in USA. BayCare Health System is a healthcare network providing hospital, home health, outpatient, and physician services. The Patient Financial Representative II performs patient accounting functions focused on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting. The role also handles billing inquiries, payment posting, account documentation, payer communications, and reimbursement guideline compliance.
Responsibilities
- Performing a variety of patient accounting functions with a strong focus on accounts receivable follow-up, insurance collections, claim resolution, denial management, and cash posting activities
- Ensure timely reimbursement by reviewing outstanding accounts, resolving billing issues, and following up with insurance carriers and patients regarding claim status and outstanding balances
- Billing, collections, customer service, payment posting, and cash applications
- Documenting patient account activity
- Responding to customer billing inquiries
- Implementing billing guideline changes
- Identifying payer-specific trends
- Applying federal and state guidelines to collection efforts
- Interprets and follows up on Explanation of Benefits (EOBs)
- Reviews claims through payer portals
- Communicates with insurance providers and patients regarding billing and claims
- Researches and resolves denials
- Performs other duties as assigned
Skills
- High School Diploma or GED Equivalent required
- Required: 1 year of customer service experience
- None required
- Interpersonal skills
- Ability to communicate clearly
- Computer skills
- Organizational skills
- Professional etiquette, respect, and courtesy with others
- Customer service skills
- Administrative and clerical skills
- Organizational skills and attention to detail
- Knowledge of regulatory standards appropriate to the position
- Medical terminology knowledge and understanding
- Strong written and verbal communication skills
- Ability to work collaboratively within a team environment
- Computer skills appropriate to the position
- Experience with payer portals, insurance follow-up, claim resolution, denial management, EOB review, and cash posting
- Knowledge of Medicare, Medicaid, and commercial insurance reimbursement processes
Benefits
- Medical, Dental, and Vision Benefits
- Paid Time Off (PTO)
- Tuition Assistance
- 401(k) Match and Additional Annual Employer Contribution
- Annual Performance Appraisals and Team Award Bonus Opportunities
- Family Resources and Wellness Programs
- Community Perks and Employee Discounts
- Career Growth and Development Opportunities
- The opportunity to be part of an amazing team and a great place to work
- Always working remotely
Company Overview