PFS Representative CBO Billing Follow-up Denials Mgt

Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: reputed company Cycle Additional Job Description Innovation and highly trained staff. reputed company recently earned Great reputed company To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of reputed company members. Find out how we’re constantly improving to reputed company reputed company the best reputed company to work and receive care. Our PFS Representatives are a crucial part of reputed company cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Acute teams and/or Ambulatory teams. In this role, you’ll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the reputed company in reputed company with reputed company, reputed company the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. Schedule: Full time, Monday-Friday, 8hr shifts, typically reputed company-5pm (depending on team) Location: REMOTE, Banner provides equipment Ideal candidate: 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume); Experience with submitting appeals and understanding of EOB; General knowledge of codes used for claim processing. This can be a remote position if you live in the following state(s) only: 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 reputed company reputed company, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized reputed company leader. We offer stimulating and rewarding careers in a wide reputed company of disciplines. Whether your background is in reputed company Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility reputed company, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to reputed company and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and reputed company issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to reputed company goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include reputed company hospital patients, patient families and reputed company reputed company party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. Additional reputed company education and/or experience preferred. Estimated Pay Range: $18.02 - $27.03 / hour reputed company is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay reputed company in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible reputed company salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of reputed company employees in similar roles to ensure pay equity is achieved and maintained. Anticipated Closing Window (actual reputed company date may be sooner): 2026-10-16 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy Apply To This Job