Patient Financial Service Rep 4 -Financial Support - Bilingual

VA, United States Job Description Inova Health is looking for a dedicated Patient Financial Services Representative 4 - Financial Services to join our Resolution team. This role will be full-time – day shift from Monday - Friday, 8:00am - 4:30pm, Onsite Role. Must be Bilingual Spanish. Position will be transitioning to Alexandria. The Patient Financial Services Representative 4 performs the duties of 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: Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments. Serves in the place of the supervisor or manager in their absence. Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed. Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity. Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs. Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt. Documents activity in HealthQuest and TRAC and ensures that documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards. Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures. Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members. Performs duties, as assigned, in the absence of the supervisor or manager. May perform additional duties as assigned. Minimum Qualifications: Education: Associate Degree or an additional three years of experience appropriate to the position under consideration Experience: 3 years of Experience in revenue cycle, finance, customer service or data analytics Preferred Qualifications Demonstrated experience in financial support functions, such as patient financial counseling, benefits education, financial assistance programs, and payment plan coordination. Strong knowledge of payer requirements, authorizations, denials, and appeals processes. Proficiency with electronic medical record and billing systems (e.g., Epic or similar platforms). Excellent communication, problem-solving, and customer service skills. Bilingual (English and Spanish) preferred to better support a diverse patient population. About Us We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy‑related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law. Job Info Job Identification 684312 Job Category Finance Locations Inova 8095 - Fairfax East Degree Level High School Diploma or Equivalent (GED/HSE) #J-18808-Ljbffr Inova Health System