Search open positions
Back to results
Patient Financial Advisor
Rockville,
Maryland$29.00/Hour Contract To Hire
On-Site
Patient Financial Advisor
Location: Rockville, MD
Pay Rate:
Patient Financial Advisor Job Summary
We are seeking a detail-oriented Patient Financial Advisor to support pre-service insurance eligibility, benefits verification, and prior authorization processes for inpatient and outpatient rehabilitation services. This position is responsible for reviewing insurance coverage, identifying payer requirements, determining patient financial responsibilities, and obtaining necessary authorizations before scheduled services. The ideal candidate will have experience in a healthcare financial environment, a strong understanding of insurance benefits, and the ability to independently manage verification workflows in a fast-paced healthcare setting. This role primarily supports rehabilitation services, including physical therapy, occupational therapy, and speech therapy. Billing, claims processing, and denials follow-up are handled by separate departments.
Patient Financial Advisor Job Responsibilities
• Perform comprehensive pre-service insurance eligibility and benefits verification for scheduled inpatient and outpatient rehabilitation services.
• Review insurance coverage for physical therapy, occupational therapy, speech therapy, and other rehabilitation services.
• Identify payer-specific coverage requirements, authorized visit limits, annual benefit limitations, and restrictions affecting recurring treatment appointments.
• Determine insurance coverage, expected payer payment, and patient financial responsibility, including applicable deductibles, copays, and coinsurance.
• Identify when prior authorization is required and obtain necessary authorizations before scheduled services.
• Access Availity, Experian Health, Inovalon, Medicare resources, and payer-specific portals to verify benefits and coverage.
• Contact insurance carriers directly by telephone or through payer portals when electronic verification systems are unavailable or information requires clarification.
• Review scheduled patient information from departmental tracking tools and complete necessary pre-service financial clearance activities.
• Communicate with physician offices, clinical teams, and internal departments to obtain information needed for verification and authorization.
• Assist patients in completing AHC charitable applications at the medical centers.
• Accurately document verification findings, authorization details, visit limitations, and patient financial responsibility.
• Follow up on outstanding pre-service verification or authorization items and escalate unresolved issues appropriately.
• Maintain confidentiality, accuracy, and productivity while supporting efficient rehabilitation operations.
• This position focuses on pre-service insurance benefits verification and prior authorizations. Billing, claims processing, and denials follow-up are handled by separate teams.
Patient Financial Advisor Job Requirements
Hunter International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
Location: Rockville, MD
Pay Rate:
Patient Financial Advisor Job Summary
We are seeking a detail-oriented Patient Financial Advisor to support pre-service insurance eligibility, benefits verification, and prior authorization processes for inpatient and outpatient rehabilitation services. This position is responsible for reviewing insurance coverage, identifying payer requirements, determining patient financial responsibilities, and obtaining necessary authorizations before scheduled services. The ideal candidate will have experience in a healthcare financial environment, a strong understanding of insurance benefits, and the ability to independently manage verification workflows in a fast-paced healthcare setting. This role primarily supports rehabilitation services, including physical therapy, occupational therapy, and speech therapy. Billing, claims processing, and denials follow-up are handled by separate departments.
Patient Financial Advisor Job Responsibilities
• Perform comprehensive pre-service insurance eligibility and benefits verification for scheduled inpatient and outpatient rehabilitation services.
• Review insurance coverage for physical therapy, occupational therapy, speech therapy, and other rehabilitation services.
• Identify payer-specific coverage requirements, authorized visit limits, annual benefit limitations, and restrictions affecting recurring treatment appointments.
• Determine insurance coverage, expected payer payment, and patient financial responsibility, including applicable deductibles, copays, and coinsurance.
• Identify when prior authorization is required and obtain necessary authorizations before scheduled services.
• Access Availity, Experian Health, Inovalon, Medicare resources, and payer-specific portals to verify benefits and coverage.
• Contact insurance carriers directly by telephone or through payer portals when electronic verification systems are unavailable or information requires clarification.
• Review scheduled patient information from departmental tracking tools and complete necessary pre-service financial clearance activities.
• Communicate with physician offices, clinical teams, and internal departments to obtain information needed for verification and authorization.
• Assist patients in completing AHC charitable applications at the medical centers.
• Accurately document verification findings, authorization details, visit limitations, and patient financial responsibility.
• Follow up on outstanding pre-service verification or authorization items and escalate unresolved issues appropriately.
• Maintain confidentiality, accuracy, and productivity while supporting efficient rehabilitation operations.
• This position focuses on pre-service insurance benefits verification and prior authorizations. Billing, claims processing, and denials follow-up are handled by separate teams.
Patient Financial Advisor Job Requirements
- High school diploma or equivalent required; some college preferred.
- Minimum of 2 years of experience in a healthcare financial environment, including insurance or public health settings.
- At least 1 year of hands-on experience performing comprehensive insurance eligibility and benefits verification.
- Experience identifying coverage requirements and obtaining prior authorizations for healthcare services.
- Ability to interpret insurance benefits, including covered services, visit limitations, deductibles, copays, coinsurance, and patient financial responsibilities.
- Rehabilitation experience, particularly physical therapy, occupational therapy, or speech therapy, strongly preferred.
- Experience supporting recurring patient visits in an outpatient or primary care setting will also be considered.
- Familiarity with insurance verification platforms such as Availity, Experian Health, Inovalon, Medicare resources, and payer-specific portals.
- Cerner experience preferred but not required.
- Candidates must be W2 employees of the submitting staffing agency.
- COVID-19 vaccination is required, with no exemptions permitted.
Hunter International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
