Patient Financial Services Specialist

Job Description

Job Description

Description:

The Patient Financial Services Specialist is a key member of the Patient Accounting team, responsible for supporting the financial experience of patients through compassionate service, accurate billing processes, and informed financial counseling. This role combines direct patient interaction with behind-the-scenes account management, including resolving account issues and assisting patients with understanding and managing their financial responsibilities. The Specialist ensures billing accuracy and compliance while helping patients access necessary care without unnecessary financial hardship.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Patient Communication & Financial Counseling

• Provide exceptional customer service via phone, email, and in-person interactions regarding billing inquiries, account balances, and payment options.
• Educate patients about insurance coverage, out-of-pocket responsibilities, and available financial assistance programs.
• Evaluate patients’ financial situation to determine eligibility for payment plans or financial assistance in accordance with organizational policies.
• Meet with patients to review bills, assist with financial assistance applications, and establish payment plans in accordance with policy.
• Conduct follow-up communications to collect documentation and complete financial aid processes.
• Respond promptly to inquiries or correspondence from patients.

Account Review & Maintenance

• Analyze patient accounts for billing accuracy and ensure proper application of insurance payments and patient responsibility.
• Document all account activity, communications, and financial arrangements accurately in the billing system.
• Review credit balances and reconcile multiple accounts when applicable.
• Collaborate with billing and insurance teams to support seamless patient financial experiences.

Compliance & Professional Conduct

• Uphold patient confidentiality and comply with HIPAA and all applicable federal, state, and organizational regulations.
• Maintain knowledge of hospital and departmental policies and procedures, including corporate compliance.
• Promote a work environment consistent with the mission, vision, and values of the organization.
• Report compliance concerns appropriately and participate in training sessions as required.

ADDITIONAL DUTIES

• Strong understanding of health insurance plans, billing processes, financial assistance programs, and regulatory guidelines.
• Excellent communication skills with the ability to explain complex financial information in a clear, respectful, and empathetic manner.
• Highly organized and detail-oriented; able to prioritize tasks and work independently with minimal supervision.
• Bilingual skills are a plus.
• Ability to work under pressure, meet deadlines, and adapt to changing priorities.

(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)

SUPERVISORY RESPONSIBILITIES

None

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, finance, or related field preferred.
• Minimum of 2 years' experience in medical billing, hospital insurance procedures, financial counseling, or patient accounts in a healthcare setting.
• Proficiency with billing systems, EHR platforms, and Microsoft Office applications.

CERTIFICATES, LICENSES, REGISTRATIONS

None

PHYSICAL DEMANDS & WORK ENVIRONMENT

• Regular contact with patients, guarantors, insurance representatives, and internal departments.
• Primarily sedentary work in a standard office or remote setting.
• Frequent use of computer, phone, and office equipment.
• Occasional lifting of up to 25 pounds.
• Visual acuity for reviewing billing documentation and computer screens.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.

BENEFITS

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