ob Description

Job Title: Patient Financial Advisor – Revenue Cycle
Reports To: Revenue Cycle Manager
Classification: Non-Exempt
Department: Revenue Cycle
Employment Status: Full-Time
Work Environment: In-office, hybrid, or remote depending on operational needs
Travel: Minimal or none

Position Summary

This position supports the revenue cycle operations of a healthcare organization by ensuring accurate and timely processing of medical claims and patient billing. Responsibilities include reviewing encounter documentation for correct procedure codes, diagnoses, and modifiers, and ensuring claims are submitted accurately the first time.

The role also assists patients with understanding their medical bills and resolving billing inquiries. The Patient Financial Advisor works with internal teams and external vendors to support patient collections, payment arrangements, and account resolution activities. A strong understanding of the full revenue cycle is required, including billing, payment posting, accounts receivable follow-up, and financial reconciliation.

This position also serves as a resource to scheduling and registration teams regarding insurance selection, billing processes, and collection policies. Additional duties may be assigned based on operational needs.

Key Responsibilities

Review medical documentation and billing records to ensure accurate claim submission.

Identify and correct billing errors prior to claim submission.

Respond to patient billing inquiries via phone and other communication channels.

Provide assistance to internal teams regarding billing and operational questions.

Follow up on unpaid or denied claims with insurance carriers.

Post and reconcile insurance and patient payments.

Coordinate with third-party vendors related to patient statements and collection activities.

Assist patients in understanding billing statements, payment plans, and financial policies.

Communicate with clinical and administrative staff regarding insurance billing and documentation requirements.

Contribute to meeting departmental revenue cycle performance and collection goals.

Education and Experience Requirements

Education

High school diploma or equivalent required

Medical billing or coding certification preferred

Experience

Minimum of 5 years of experience in healthcare revenue cycle, medical billing, or related field

Knowledge and Skills

Working knowledge of medical billing guidelines and revenue cycle processes

Familiarity with regulatory requirements from government and commercial payers

Understanding of CPT, ICD-10, and HCPCS coding and appropriate modifier usage

Experience billing Medicare, Tricare, and commercial insurance payers

Ability to review accounts and medical documentation with strong analytical skills

Effective communication skills when interacting with patients and staff

Professional judgment, tact, and problem-solving abilities

Proficiency with Microsoft Office applications (Outlook, Excel, Word)

Experience working with practice management systems and electronic medical records (EMR) preferred

Physical Requirements

Ability to sit for extended periods while using a computer and keyboard

Ability to see and read computer screens and documents

Ability to communicate clearly in person and over the phone

Ability to occasionally stand, walk, or move within the workspace

Ability to lift or move objects up to approximately 15 pounds

Frequent use of hands for typing and computer navigation

Work Authorization

Applicants must be authorized to work in the United States.

Equal Opportunity Statement

The organization is committed to providing equal employment opportunities and does not discriminate based on legally protected characteristics.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.