Job Description Job Description Pay: $32.00-$35.00/hourSpecialty: Patient Financial Services focused on Skilled NursingABOUT THE ROLEInsync consulting is seeking an experienced Patient Financial Services (PFS) professional to support the full revenue cycle for Skilled Nursing patients. This position is responsible for registration, insurance authorizations, billing, account follow-up, denials, underpayments, and patient financial communication.The ideal candidate will have strong Skilled Nursing billing and reimbursement experience, excellent attention to detail, and the ability to work directly with patients and families while providing compassionate, patient-centered financial support.KEY RESPONSIBILITIESManage patient registration, financial clearance, and insurance authorizations.Obtain and manage authorizations to ensure appropriate insurance reimbursement.Bill government and commercial payers for Skilled Nursing services.Follow up on outstanding, denied, and underpaid accounts receivable.Review EOBs and remittance advices, including payment and denial codes.Research, analyze, and adjudicate complex patient accounts and contractual arrangements.Appeal denials and underpayments as appropriate.Calculate and bill patients for coinsurance, deductibles, share of cost, and non-covered services.Perform complex mathematical calculations to accurately adjudicate patient accounts.Communicate directly with patients and families regarding their financial responsibility throughout the revenue cycle.Serve as a patient advocate from registration through final account resolution.Provide clear, compassionate, and personalized financial service to patients and families.Help reduce bad debt through effective financial clearance and patient-centered payment strategies.Maintain accurate account documentation and ensure timely follow-up.Collaborate with multidisciplinary Skilled Nursing teams and participate in team activities.Build strong working relationships through open communication and teamwork.Follow organizational policies, procedures, applicable laws, and regulatory standards.Perform other duties as assigned.QUALIFICATIONSRequired:Associate Degree or equivalent combination of education and experience.3+ years of healthcare Patient Financial Services experience OR 2+ years of specialized Skilled Nursing experience.Strong understanding of healthcare billing, insurance reimbursement, denials, and accounts receivable.Ability to analyze and resolve complex patient financial accounts.Strong communication and customer service skills.Ability to handle confidential patient and financial information.Proficiency with computers and standard office equipment.Preferred:College-level coursework in medical or healthcare-related subjects.3-5 years of Skilled Nursing billing experience.Experience with government and commercial payer billing.Experience with EOBs, RAs, denials, appeals, contractual adjustments, and patient balances. Company Description InSync Consulting Services is a staffing agency specializing in Healthcare, Commercial, and EOR staffing services. Company Description InSync Consulting Services is a staffing agency specializing in Healthcare, Commercial, and EOR staffing services.
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Not specified in the original listing.
