Patient Financial Service Rep

About the Role

Patient Financial Services Specialist delivers comprehensive financial support throughout the patient journey by combining exceptional patient customer service, self-pay account management, and financial assistance expertise. This role serves as a critical liaison between patients and the healthcare organization, helping patients understand and navigate their financial responsibilities while optimizing revenue collection and ensuring compliance with organizational policies.

If you are empathetic, detail-oriented, and thrive in a patient-facing financial role, this is an opportunity to make a meaningful impact on both patient experience and organizational outcomes.

• Serve as the primary point of contact for patients regarding billing questions, insurance coverage, payment options, and financial responsibilities.
• Research and resolve complex billing inquiries by reviewing account histories and collaborating with internal departments.
• Process patient payments and accurately document all interactions in the EMR system while maintaining strict confidentiality in compliance with HIPAA regulations.
• Proactively contact patients regarding outstanding balances, negotiate payment arrangements, and manage follow-up on delinquent self-pay accounts.
• Identify and resolve billing discrepancies that affect patient balances or cause payment delays.
• Conduct financial assessments to determine eligibility for internal financial assistance and administer charity care programs according to established guidelines.
• Screen patients for eligibility in government programs such as Medicaid, Medicare, and CHIP
  , and guide them through the application process.
• Calculate and communicate patient financial responsibility estimates prior to services to ensure transparency and informed decision-making.
• Collaborate with clinical teams to help remove financial barriers and support patient access to care.
• Stay current on healthcare billing regulations, payer policies, and financial assistance programs to ensure compliant and accurate guidance.
• Participate in continuous improvement initiatives to enhance workflow efficiency and the overall patient financial experience.
• Support team goals by contributing to collection targets, patient satisfaction metrics, and timely account resolution, while remaining cross-trained in other revenue cycle functions for backup support.
• Perform other duties as assigned.

• Associate's degree in Healthcare Administration, Finance, or a related field
  .
• 2+ years of experience in healthcare revenue cycle or patient financial services.
• Demonstrated knowledge of medical terminology, billing procedures, and insurance concepts.
• Strong understanding of government healthcare programs and eligibility requirements, including Medicaid and Medicare
  .
• Working knowledge of HIPAA regulations and the Fair Debt Collection Practices Act (FDCPA).
• Proficiency with healthcare billing software, CRM systems, and financial assistance program platforms.
• Proficiency in Microsoft Office Suite
  , particularly Excel, with the ability to create, interpret, and analyze spreadsheets and reports.
• Excellent attention to detail and strong organizational skills, with the ability to manage multiple priorities and meet deadlines.
• Outstanding verbal and written communication skills, including the ability to explain complex financial information clearly and professionally.
• Customer service-oriented mindset with the ability to handle sensitive financial conversations with empathy, discretion, and professionalism.

• 100% Remote Work (PST or MST time zones)
• Supportive, collaborative team with strong camaraderie
• Emphasis on work-life balance and schedule flexibility
• Ongoing learning, growth, and career development opportunities
• Meaningful, mission-driven work that directly impacts patient access to care
• Competitive compensation and benefits
• Approachable leadership and a culture that listens

This is a fully remote position
, open to candidates located in Pacific or Mountain Time Zones only
.

This is a Contract to Hire position based out of Portland, OR.