Patient Financial Services Representative

CentraState Healthcare System

. Investigate denied or underpaid inpatient and outpatient claims by reviewing EOBs, medical records, and account notes .

Posted 10/6/2026full-timeMorristown • New Jersey • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing denied claims and implementing process improvements while maintaining meticulous records and effective communication with stakeholders. Proficient in utilizing Epic for managing denial and appeal activities.

Highest-signal resume keywords

Claims InvestigationData AnalysisWritten CommunicationCritical ThinkingAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ReviewEOB AnalysisDocumentation ManagementData ReconciliationProcess Improvement

Soft Skills

Problem-SolvingTime ManagementCollaboration

Tools & Technologies

Epic

Industry Keywords

Inpatient ClaimsOutpatient ClaimsDenial ManagementAppeals ProcessBilling

About the role

Key responsibilities & impact

Investigate denied or underpaid inpatient and outpatient claims by reviewing EOBs, medical records, and account notes
Determine specific reasons for claim denials
Forward denied encounters to the appropriate department/vendor for written appeals with supporting documentation and rationale
Print and mail appeals
Follow up with insurance companies regarding appeal status and provide additional information as needed
Identify root causes and recurring trends in denials and report findings to management
Collaborate with billing and clinical teams to implement process improvements
Maintain detailed records of denial and appeal activities, communications, and actions
Record outcomes and adjust balances in Epic
Reconcile vendor invoices

Requirements

What you’ll need

Minimum: High school diploma
Ability to analyze complex data, identify trends, and make informed decisions
Strong written and verbal communication skills for collaborating with internal and external stakeholders
Critical thinking and problem-solving skills to navigate complex denial reasons
Ability to manage a large caseload, prioritize tasks, and meet deadlines
Meticulous attention to detail to ensure accuracy in documentation

Benefits

Comp & perks

Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
Life & AD&D Insurance
Short-Term and Long-Term Disability (with options to supplement)
403(b) Retirement Plan: Employer match, additional non-elective contribution
PTO & Paid Sick Leave
Tuition Assistance, Advancement & Academic Advising
Parental, Adoption, Surrogacy Leave
Backup and On-Site Childcare
Well-Being Rewards
Employee Assistance Program (EAP)
Fertility Benefits, Healthy Pregnancy Program
Flexible Spending & Commuter Accounts
Pet, Home & Auto, Identity Theft and Legal Insurance