PFS Representative, DME Collections

This is a fully remote position, open to applicants in Alabama, +34 more states.

📋 Description

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

• Collaborate with team members and physician office staff to ensure proper processing.

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

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

• Investigate payments, denials, and accounts to pinpoint short/over payments, contract discrepancies, incorrect financial classifications, and errors.

• Initiate appeals and make necessary corrections.

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

• Recognize payment issue trends and communicate solutions to both internal and external customers.

• Address incoming calls and initiate outbound calls to resolve billing, payment, and accounting concerns.

• Strive to meet patient financial services goals related to outstanding account days and dollars.

• Decrease Accounts Receivable balances.

• Record activities and provide statistical data using systems; compile issue lists and communicate effectively with payors.

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

• Employ critical thinking to resolve issues and reconcile accounts in a timely manner.

⛳️ Requirements

• Minimum of 1 year experience in Patient Financial Services, Collections, Accounts Receivable, and healthcare Revenue Cycle.

• Experience with Durable Medical Equipment (DME) and/or Waystar is highly preferred.

• Must reside in one of the eligible states: 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, WY.

• High school diploma/GED or equivalent practical knowledge required.

• Understanding of patient financial services, financial/collecting services, or insurance industry processes.

• Capacity to manage multiple tasks simultaneously with minimal oversight and operate independently.

• Excellent interpersonal, verbal, and written communication skills.

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

• Prior experience with the Company's systems and processes is advantageous.

• Previous cash collections experience is a plus.

• Additional relevant education and/or experience is preferred.

🏝️ Benefits

• Opportunity for remote work.

• Equipment provided by Banner.

• Flexible scheduling following successful completion of training.

• Certification as a Great Place To Work® and commitment to workplace investment and team member wellbeing initiatives.