Patient Financial Services Specialist – Self Pay

This is a fully remote position, open to applicants in United States.

📋 Description

• Process claims, oversee accounts receivable, and ensure documentation adheres to payer guidelines and OCHIN systems.

• Investigate and address claim denials while identifying emerging trends.

• Contribute to process enhancements that improve reimbursement results.

• Communicate with team members and stakeholders to clarify billing requirements effectively.

• Monitor deadlines and organize billing activities for timely and efficient task execution.

• Utilize knowledge of the U.S. healthcare system and OCHIN solutions in billing operations.

• Provide billing and customer service support to OBS member clinics and patients.

• Manage self-pay accounts and respond to customer inquiries.

• Handle daily claims processing, including printing, mailing, and preparing documentation for clean claim submission.

• Support Acute Care billing operations.

• Travel nationally for on-site Go Live support as needed.

• Perform additional duties as assigned.

⛳️ Requirements

• Required experience in rural hospitals for Acute Care hospital work.

• Self-pay experience is mandatory.

• Epic experience is highly desirable.

• Experience with Critical Access Hospital billing is highly preferred.

• Preference for candidates with billing and/or coding revenue cycle experience.

• Working knowledge of Medicare, Medicaid, MVA, Workers Comp, and private insurance billing and reimbursement processes is preferred.

• Familiarity with legal requirements is preferred.

• Experience and knowledge of FQHC/RHC are preferred.

• Medical Billing Certification from the American Academy of Professional Coders (AAPC) is preferred.

• Completion of a 50–60-minute competency assessment prior to the team interview is required.

• Ability to work independently and efficiently from a home office environment.

• High-speed internet service is necessary.

• Capacity to work in a distraction-free workplace is essential.

• Travel may be required up to 20% nationally for on-site Go Live support based on business needs.

• Proficiency in reading, speaking, writing, and understanding English is required.

• Ability to be on camera for all virtual meetings is necessary.

• Competence in using standard office equipment such as computers and mobile devices is required.

• COVID-19 vaccination or an approved medical/religious exemption is required prior to hire.

🏝️ Benefits

• A comprehensive range of benefits.

• Opportunity for remote work from home.

• Potential for professional advancement.

• Healthy work-life balance.

• COVID-19 vaccination coverage or approved medical/religious exemption as a condition of employment.