Patient Financial Services Associate II

Exact Sciences

Patient Financial Services Associate processing claims and appeals for Exact Sciences. Managing patient insurance eligibility verification and resolving billing discrepancies in a remote environment.

Posted 7/8/2026full-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $41,200 - $61,800 per yearWebsite

About the role

Key responsibilities & impact

Independently determine initial or ongoing patient insurance eligibility verification
Investigate, and correct accounts within Epic
Review/edit claims and appeals prior to submitting to clearinghouse
Analyze, research, and resolve claim issues applying federal, state, and payor rules and procedures
Correct rejected claims from the claim’s scrubber, clearinghouse, or payor
Investigate payor underpayments
Follow up with payors via phone on unpaid aging claims
Maintain strictest confidentiality; adheres to all HIPAA guidelines/regulations

Requirements

What you’ll need

High School Diploma or General Education Degree (GED)
2 years of experience in medical billing, claims, and/or insurance processing
Extensive and current working knowledge of government, managed care, and commercial insurances claim submission requirements, reimbursement guidelines, and denial reason codes
Knowledge of medical terminology and/or health insurance terms
Knowledge of EHR operating systems and work involving electronic records
Proficient in computer systems and keyboarding skills
Demonstrated strong attention to detail and focus on quality output
Demonstrated ability to perform the Essential Duties of the position with or without accommodation
Authorization to work in the United States without sponsorship

Benefits

Comp & perks

paid time off (including days for vacation, holidays, volunteering, and personal time)
paid leave for parents and caregivers
retirement savings plan
wellness support
health benefits including medical, prescription drug, dental, and vision coverage

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Insurance Eligibility VerificationClaims Review and EditingClaims AnalysisReimbursement GuidelinesDenial Reason CodesMedical TerminologyKeyboarding SkillsAccount CorrectionPayor Underpayment InvestigationClaims Scrubber Correction

Soft Skills

Strong Attention to DetailQuality Focus