PFS Representative

This is a fully remote position, open to applicants in Alabama, +37 more locations.

📋 Description

• Follow up with designated payers regarding denials, including those related to authorization and eligibility.

• Coordinate and manage patient billing and collection efforts.

• Handle payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans.

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

• Investigate payments, denials, and accounts to pinpoint short/overpayments, contract discrepancies, financial-class errors, and other issues.

• Initiate appeals and make corrections as required.

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

• Analyze payment trends and communicate solutions to both internal and external stakeholders.

• Handle incoming calls and make outbound calls to address billing, payment, and accounting concerns.

• Decrease accounts receivable balances and support the objectives of patient financial services.

• Document information in systems, provide statistical data, prepare issue lists, and liaise with payors.

• Operate independently under general supervision while reporting to a Supervisor or Manager.

⛳️ Requirements

• At least 1 year of experience in Medical Insurance Accounts Receivable and/or Physician Fee for Service Billing.

• A minimum of 1 year of experience in writing appeal letters for payer/payor denials.

• Intermediate to advanced proficiency in Microsoft Excel.

• High school diploma/GED or equivalent practical knowledge.

• Familiarity with patient financial services, financial and collection services, or insurance industry processes typically gained through one or more years of experience.

• Capability to manage multiple tasks simultaneously with limited supervision and work independently.

• Excellent interpersonal, verbal, and written communication skills.

• Strong understanding of commonly used 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.

• Additional relevant education and/or experience is preferred.

🏝️ Benefits

• Great Place To Work® Certification™ workplace.

• Stimulating and rewarding careers.

• Comprehensive total rewards package.