Financial Specialist 1 - Pre Service

The Financial Specialist 1 completes work assignments within established quality standards. Communicates effectively with various audiences by using the most appropriate methods. Counsels patients on financial liability using available financial counseling tools to achieve maximum reimbursement for patient services. Verifies and enters insurance information and authorization/referral requirements. Contributes to a safe patient care environment by identifying, analyzing and effectively solving problems.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

• Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Financial Specialist 1 - Pre Service Responsibilities:

• Accepts responsibility to review and correct errors before completion and routes to others for review when appropriate.
• Educates and assists patients with the completion/submission of applications for alternative sources of payment for healthcare services such as medical assistance programs, loans and grants.
• Reviews documented insurance benefits and patient liability in appropriate systems to prepare for patient counseling sessions.
• Requests/secures balance due payments from patients in accordance with established policies and procedures.
• Educates/trains others on insurance theory, insurance verification, and authorization/referral processes.
• Participates in related process improvement activities and makes suggestions for new or revised policies and procedures.
• Demonstrates an understanding of account resolution processes such as benefit verification, insurance classification, billing complaint claims, and account follow-up.
• Stays current with relevant insurance, contractual, and/or third-party payer regulations, medical policies, transaction/code sets, and general payment methods needed to ensure proper adjudication and compliance with industry standards.

Minimum Qualifications:

• Education: High School or GED
• Experience: Two years of patient access experience

Preferred Qualifications:

• Strong knowledge of insurance verification, preauthorization processes, and third-party payer requirements.
• Experience with patient scheduling systems and electronic health records (EHR), preferably Epic.
• Demonstrated ability to identify and resolve billing and preauthorization issues to ensure timely and accurate claim submission.
• Excellent communication and customer service skills with a patient-first mindset.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and other relevant billing or scheduling software.
• Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality.
• Ability to work collaboratively with clinical staff, insurance companies, and internal departments to ensure clean claims and proper reimbursement.