Patient Financial Services Specialist – Self Pay

• Process claims, manage accounts receivable, and maintain documentation in compliance with payer guidelines and OCHIN systems
• Investigate and resolve claim denials and identify trends
• Contribute to process improvements that enhance reimbursement outcomes
• Communicate with team members and stakeholders to clarify billing requirements
• Track deadlines and plan billing activities for timely and efficient task completion
• Apply knowledge of the U.S. healthcare system and OCHIN solutions to billing operations
• Provide billing and customer service support to OBS member clinics and patients
• Manage self-pay accounts and customer inquiries
• Handle daily claims production, including printing, mailing, and preparing documentation for clean claim submission
• Support Acute Care billing operations
• Travel nationally for on-site Go Live support when required
• Perform other duties as assigned

Requirements

• Rural hospital experience required for Acute Care hospital work
• Self Pay experience required
• Epic experience highly preferred
• Critical Access Hospital Billing experience highly preferred
• Experience in billing and/or coding revenue cycle experience preferred
• Working knowledge of Medicare, Medicaid, MVA, Workers Comp, and private insurance billing and reimbursement processes preferred
• Knowledge of legal requirements preferred
• FQHC/RHC experience and knowledge preferred
• Medical Billing Certification from the American Academy of Professional Coders (AAPC) preferred
• Completion of a 50–60-minute competency assessment before the team interview
• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• Ability to work in a distraction-free workplace
• Travel required up to 20% nationally for on-site Go Live support based on business requirements
• Reading, speaking, writing, and understanding English
• Ability to work on camera for all virtual meetings
• Ability to use standard office equipment such as computers and mobile devices
• COVID-19 vaccination or approved medical/religious exemption required before hire

Core Competencies

Demonstrates expertise in medical billing processes, including claims management and reimbursement strategies, while effectively communicating with stakeholders and providing customer service support. Proficient in navigating the U.S. healthcare system and utilizing OCHIN solutions to enhance billing operations.

Highest-signal resume keywords

• Rural Hospital Experience
• Self Pay Experience
• Epic Experience
• Medical Billing Certification
• Knowledge of Medicare and Medicaid Billing

Hard Skills

• Claims Processing
• Accounts Receivable Management
• Billing Operations
• Revenue Cycle Management
• Claim Denial ResolutionDocumentation Compliance
• Process Improvement
• Customer Service Support
• Acute Care Billing
• Legal Requirements Knowledge

Soft Skills

• Effective Communication
• Independent Work
• Time Management
• Problem Solving
• Attention to Detail

Certifications & Qualifications

• Medical Billing Certification from AAPC

Industry Keywords

• FQHC
• RHC
• Critical Access Hospital Billing
• Medicare
• Medicaid
• Workers Comp
• Private Insurance Billing

Tools & Technologies

• OCHIN Systems
• Epic Software
• Standard Office Equipment