Texas Licensed Patient Financial Rep

Job Summary

A company is looking for a Patient Financial Services Rep II.

Key Responsibilities

• Investigate and resolve denied claims by reviewing payer policies and reimbursement structures
• Conduct outbound calls and validate claim status through payer websites within required timeframes
• Maintain detailed documentation of account activities, including calls and appeal outcomes

Required Qualifications

• High School Diploma
• 5 years of hospital or medical billing experience
• Familiarity with medical billing procedures and coding systems (e.g., ICD-10, CPT)
• Prior experience working with hospital claim denials and appeals
• Knowledge of various insurance plans and claim processing requirements