Patient Financial Services Follow Up Representative

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Conduct precise and timely follow-ups on variances, unpaid accounts, and denials for billed accounts receivable across all payers.

• Analyze previous account activity and reach out to payers or utilize payer websites to ascertain the current outstanding account status.

• Amend claims or gather necessary information from payers as required.

• Complete relevant workflows and maintain detailed account notes for subsequent steps and resolution.

• Execute daily collections, variance, and technical denial tasks to facilitate account resolution.

• Interpret and apply managed care contract terms to resolve payer issues.

• Escalate accounts to payers, internal departments, or patients where necessary.

• Recognize trends, recurring issues, and charge corrections for management attention.

• Contribute to the PFS department matrix and offer assistance to co-workers as time permits.

• Oversee productivity and quality, identify root causes, and address quality concerns.

• Perform additional duties as assigned.

⛳️ Requirements

• High School diploma or equivalent OR a post-high school diploma/highest degree obtained.

• A minimum of two (2) years of experience in medical billing, customer service, follow-ups, and/or in a medical office setting.

• CRCA certification preferred.

• CRCR certification preferred.

• Proficient in Microsoft Office applications including Word, Excel, Outlook, and Teams.

• Strong communication skills.

• Adherence to laws and regulations.

• Skills related to medical billing, follow-up, and/or medical office operations.

• Analytical abilities.

• Attention to detail.

• Commitment to professional growth and development through seminars, workshops, in-service meetings, current literature, and professional affiliations.

🏝️ Benefits

• Full-time day shift.

• Remote work as specified in the job title.