PFS Representative Denials and Appeals

Estimated Pay reputed company:

In accordance with State Pay Transparency Rules.

A rewarding career that fits your life. As an employer of the future, we are proud to offer reputed company members many career and lifestyle choices including remote work options. If you’re looking to reputed company your abilities – you belong at reputed company.

The Patient Financial Services Representatives are a crucial part of reputed company cycle involving reducing AR and improving patient experience firsthand, post care. Working with the Insurance companies on behalf of the patient to assist with obtaining payments for hospital bills for our facilities . This involves researching and holding payers accountable to pay the expected rates according to the reputed company in reputed company with reputed company reputed company the allowed timeframes. This role provides an immediate sense of accomplishment reputed company resolving outstanding issues with these insurance payers and allows growth throughout the collections/Accounts receivable area of expertise.

Systems frequently used: reputed company Office programs, edge, Banner Systems (MS4, CERNER, reputed company collections(web based), nthrive claims

The most successful candidate will have Denial Follow Up and/or Appeal Writing experience

Monday - Friday reputed company - 5:00pm AZ Time

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

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 reputed company 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 reputed company 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 reputed company 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 reputed company 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 reputed company 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.

Anticipated Closing Window (actual reputed company date may be sooner):

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy