Financial Specialist 2

Inova Fairfax Hospital- Revenue Cycle is looking for a dedicated Financial Specialist 2 to join the team. This hybrid role will be full-time day shift from Monday - Friday.

The Financial Specialist 2 counsels patients on financial liability, verifies and enters insurance information and authorization/referral requirements, and contributes to a safe patient care environment at Inova.

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 2 Responsibilities:

• Accepts responsibility to review and correct errors before completion and routes to others for review when appropriate.
• Participates in process improvement activities and makes suggestions for new or revised policies and procedures.
• Reports all near misses, accidents, and occurrences for patients, visitors, and staff. Observe the working environment for potential and actual hazards. Attends patient safety training and maintains current safety certifications - if required.
• Responds to problems with a sense of urgency. Uses a logical process to identify the problem's origin and develop appropriate solutions.
• Demonstrates an understanding of frontend functions that initiate patient care such as scheduling, registration, and care management.
• Informs and consults with team members, leaders, and stakeholders about potential barriers that impact team results.
• Anticipates overload and peak work conditions and makes plans/identifies resources to resolve them.
• Demonstrates an understanding of account resolution processes such as benefit verification, insurance classification, billing complaint claims, and account follow-up.

Minimum Qualifications:

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

Preferred Qualifications:

• Proficiency in EPIC; strong workqueue navigation and documentation accuracy.
• 2+ years hands-on prior authorization experience (commercial, Medicare/Medicaid).
• 5+ years healthcare registration/patient access experience (insurance verification, benefits estimation, copay/deductible collection, MSP questionnaires, HIPAA).
• Working knowledge of payer guidelines and medical necessity requirements; ability to interpret EOBs and resolve front-end denials.
• Strong communication and service recovery skills with patients, providers, and payers in fast-paced clinical settings.