[Remote] Patient Financial Services Associate

Note: The job is a remote job and is open to candidates in USA. Spire Orthopedic Partners is a growing national partnership of orthopedic practices providing support and operational resources to physicians. The Patient Financial Services Associate is responsible for delivering accurate and timely financial services to patients, including insurance verification, billing inquiries, and payment resolution while ensuring compliance with policies and regulations.

Responsibilities

• Serve as a primary point of contact for patient financial inquiries via phone, portal, or written correspondence
• Explain insurance benefits, coverage limitations, patient responsibility, and payment options in a clear, professional manner
• Provide cost estimates and financial counseling as appropriate
• Provide daily guidance, coaching, and support to Patient Financial Services Representatives
• Serve as the first level of escalation for complex patient, billing, or account issues
• Verify insurance eligibility and benefits and document findings accurately in the system
• Review patient accounts for accuracy, including demographic, coverage, and billing information
• Submit, review, and follow up on insurance claims and patient balances as assigned
• Identify and resolve billing discrepancies, underpayments, or denials within defined workflows
• Support staff in explaining insurance benefits, patient responsibility, payment plans, and financial assistance options
• Collect patient payments and establish payment plans per organizational policy
• Post payments and adjustments accurately when assigned
• Ensure compliance with HIPAA and all applicable state and federal regulations
• Maintain confidentiality of all patient and financial information
• Follow departmental policies, procedures, and documentation standards
• Other duties as assigned

Skills

• High school diploma or equivalent required
• Strong customer service, communication, and problem-solving skills
• Basic computer proficiency including MS Office applications
• Experience using electronic health records or practice management systems
• Working knowledge of insurance plans, benefit structures, and patient billing processes
• Familiarity with front-end and post-service revenue cycle workflows
• Prior experience handling escalated patient financial inquiries
• 1–3 years of experience in Patient Financial Services, medical billing, or revenue cycle operations preferred
• Experience in a multi-specialty or high-volume healthcare environment

Benefits

• Excellent growth and advancement opportunities
• Dynamic environment
• Access to a diverse network of practitioners
• Broad infrastructure of tools and programs to enhance the employee experience
• Competitive Compensation
• Generous PTO
• Benefits package: health, dental, vision, 401(k), etc.

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