PFS Customer Service Representative

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

📋 Description

• Oversee and manage patient billing and collection processes.

• Handle a high volume of incoming calls addressing patient billing inquiries.

• Deliver customer service and support to patients, their families, healthcare providers, and both internal and external clients.

• Accurately and promptly process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and payment plans.

• Collaborate with staff and physician office personnel to ensure correct processing and adherence to PCI compliance.

• Reconcile, balance, and actively pursue account balances, payments, and denials.

• Engage with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets, and collection/self-pay policies to optimize reimbursement.

• Foster strong working relationships with business units, hospital departments, and provider offices.

• Identify payment issue trends and communicate effectively to educate and resolve concerns.

• Process payments for walk-in patients as required.

• Assist the patient financial services team in achieving outstanding account targets and reducing Accounts Receivable balances.

• Utilize systems to document information, generate statistical data, prepare issue lists, and liaise with payors.

• Work independently with general supervision and report to a Supervisor or Manager.

• Apply critical thinking skills to solve problems and reconcile accounts efficiently.

⛳️ Requirements

• At least 1 year of experience in Customer Service and/or Call Center, as clearly indicated on your resume.

• A minimum of 1 year of healthcare experience in Finance, Revenue Cycle, or Patient Financial Services.

• Remote work is restricted to residents of AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV.

• High school diploma/GED or an equivalent level of working knowledge.

• Familiarity with patient financial services, financial collecting services, or processes in the insurance industry.

• Capability to manage multiple tasks simultaneously with minimal supervision and work autonomously.

• Excellent interpersonal, verbal, and written communication skills.

• Strong understanding of insurance plans, including deductibles and co-insurances.

• Proficient in common office software, including word processing, spreadsheet, and database applications.

• Previous experience with the Company’s systems and processes is preferred.

• Prior cash collections experience is preferred.

• Bilingual skills are a plus.

• Additional relevant education and/or experience is preferred.

🏝️ Benefits

• Recognized as a Great Place To Work® Certification™ workplace.

• Flexible part-time remote work arrangements available.

• Commitment to EEO/Disabled/Veterans support.

• Maintain a drug-free work environment.