Top 32 Pfs rep Jobs | SimplyHired

Patient Account Rep Level II - 100% Remote
REGIONAL ONE HEALTH —Memphis, TN
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
Patient Accounts Rep - PFS Physician
Kettering Health —Miamisburg, OH
- Part-time
- High school diploma or GED
- Epic
- Entry level
Patient Accounts Rep - PFS Shared Svcs
Kettering Health —Miamisburg, OH
- Full-time
- High school diploma or GED
- Epic
- Entry level
FINANCIAL COUNSELOR REP, PFS CUSTOMER SERVICE
South Georgia Medical Center —Valdosta, GA
- 8 hour shift
- Hospital
- Customer service
- Mid-level
- Disability insurance
- Tuition reimbursement
NW Patient Account Customer Service Rep - PFS Call Center
Kettering Health —Miamisburg, OH
- Part-time
- Mid-level
- 3 years
- High school diploma or GED
Account Analyst II - PFS Billing & Collections - Sharp Corporate Office - Day Shift - Full Time
Sharp HealthCare —San Diego, CA
- $25.30 - $34.00 an hour
- 8 hour shift
- Writing skills
- Mid-level
- Office
Customer Service Rep II- PFS (Full-Time, Days)
Enloe Medical Center —Chico, CA
- $22.36 - $30.19 an hour
- 8 hour shift
- Computer literacy
- Typing
- 1 year
- Health insurance
- Dental insurance
4d
PFS Correspondence Credit Balance Rep | Full Time, Days, 100% Onsite
Guidehouse —Birmingham, AL
- Full-time
- Computer literacy
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
PFS Billing Rep
Prisma Health —Columbia, SC
- Day shift
- Writing skills
- Medical office experience
- HIPAA
PFS Representative
Banner Health —Ogallala, NE
- Full-time
- Vital signs
- Word processing
- High school diploma or GED
Patient Account Rep Senior
Memorial Health Services —Fountain Valley, CA
- $25.22 - $36.57 an hour
- 8 hour shift
- Hybrid work
- Bilingual
- Microsoft Outlook
- Research
- Health insurance
- Work from home
11d
Patient Access Representative PRN
Texas Children's Hospital —Houston, TX
- Part-time
- Hospital
- Customer service
- High school diploma or GED
Patient Accounting Rep II -- Customer Service
The University of Kansas Health System —Lenexa, KS
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
PFS Insurance Group - Customer Service Rep
Pinnacle Bank —Prescott, AZ
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- Health savings account
Patient Account Rep
Glenwood Medical Associates, PC —Glenwood Springs, CO
- Full-time
- Medical office experience
- Travel
- Data entry
Quick Apply
PFS Insurance Group - Customer Service Rep
Pinnacle Bank/Bank of Colorado —Prescott, AZ
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Paid holidays
- Paid time off
Quick Apply
Hospital Insurance Collections Rep.-Full-time
Community First Medical Center —Chicago, IL
- Full-time
- Medical office experience
- Research
- Mid-level
- Free parking
- Health savings account
Quick Apply
Remote Senior Insurance Rep
PFS Group —Houston, TX
- Full-time
- Remote
- 5 years
- Finance
- Analysis skills
9d
Insurance Appeals Rep
PFS Group —Houston, TX
- Full-time
- Research
- Mid-level
- Organizational skills
- Disability insurance
- Health insurance
3d
Patient Accounting Rep II
The University of Kansas Health System —Westwood, KS
- Full-time
- Mid-level
- High school diploma or GED
- 1 year

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Patient Account Rep Level II - 100% Remote

REGIONAL ONE HEALTH -
Memphis, TN

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Job Details

Full-time

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursements service for The Regional Medical Center in accordance with PFS standards, policies and procedures. Responsible for making the required number and acceptable quality of collection calls per day to obtain the required completion rate. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission. Gathers all information necessary to process patient claims. Ensures that daily productivity standards, billing and re-billing files are met to obtain the required completion rate.

What you will do

Performs billing, collections and reimbursement services. * Ensures that all required financial/demographic information is secured. * Provides monitoring, follow-up, and research of all assigned patient accounts as required to maintain accurate records pertaining to patient and/or account information. * Provides courteous and professional customer service at all times.
Reviews erroneous claims and researches Commercial guidelines to ensure corrections, adjustments, and proper modifications to claims in accordance with documented billing procedures. * Responds to patient and insurance company complaints, correspondence, inquiries and requests for information by analyzing charges and bill and contracted arrangements, determining billing errors. * Contacts clinical departments and HIM to obtain information to determine claim integrity and works with department to resolve claims. * Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and payment methodology.
Maintains an active working knowledge of all Governmental Mandated Regulations as it pertains to claims submission. * Ensures successful implementation of Governmental Regulatory Billing changes, including but not limited to Medicare OPPS effective August 1, 2000. * Performs the necessary research in order to determine proper governmental requirements prior to claims submission. * Collects balance owed from third party payers in accordance with state and federal laws governing collection practices. * Maintains an active working knowledge of all billing and reimbursement requirements by Payer. * Continuously receives updates and information regarding challenges and newly revised billing and reimbursement practices to ensure compliance.
Ensures daily productivity standards are met and daily billing and re-bill files are cleared in accordance with documented procedure. * Biller – 120 accounts per day. * Collector – 45 accounts per day. * Validator – 80 accounts per day. * Ensures all correspondence, rejected claims and returned mail is worked within 48 hours of receipt during workdays. * Ensures daily EOBs, reports and appeal files are cleared within 48 hours of receipt during workdays. * Ensures business service requests are worked and documented within 24 hours of receipt during workdays. * Reviews and resolves claims that are suspended daily in electronic billing terminals in accordance with PFS procedure. * Works all discount applicable generated reports, providing proper documentation and making necessary corrections within 48 hours of receipt during workdays. * Ensures claims are submitted timely and no filing deadlines are received.
Ensures quality standards are met and proper documentation regarding patient accounting records. * Identifies and forwards proper account denial information to the designated departmental liaison. * Dedicates efforts to ensure a proper denial resolution and timely turnaround. * Makes appropriate corrections to the BAR tables to ensure system calculated contractual adjustments are accurate. * Reviews all payments received to verify accuracy by evaluating the claim, account level charge information, contact and payment terms in accordance with Reimbursement Verification Procedure. * Ensures collection efforts are thorough and ethical to accomplish overall departmental objectives related to outstanding balances.
Works collaboratively and cohesively with the team to assist in keeping workload evenly distributed. * Works with PFS Managers to assess the educational needs of associates and provides the necessary training and education on transactional processes. * Ensures consistent, open and honest communication with PFS Director and/or Managers regarding findings, recommendations and other financial opportunities. * Attends and participates in daily team briefings, metrics tracking and prompt resolution of Issues, Problems and Opportunities

High School Diploma Or equivalent. Required
Minimum 2 years experience Experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) and reimbursement verification and/or refunds for government and/or commercial insurances. Required and
College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience. Required

Physical Demands

Standing - Occasionally
Walking - Occasionally
Sitting - Constantly
Lifting - Rarely
Carrying - Rarely
Pushing - Rarely
Pulling - Rarely
Climbing - Rarely
Balancing - Rarely
Stooping - Rarely
Kneeling - Rarely
Crouching - Rarely
Crawling - Rarely
Reaching - Rarely
Handling - Occasionally
Grasping - Occasionally
Feeling - Rarely
Talking - Constantly
Hearing - Constantly
Repetitive Motions - Frequently
Eye/Hand/Foot Coordination - Frequently

Regional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

Apply Now

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