PFS Representative
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Job Description
Remote PFS Representative supporting Banner Health’s healthcare billing and collections operations. Resolving patient account issues, processing payments, and securing accurate reimbursement.
Responsibilities:
- Coordinate and facilitate patient billing and collection activities
- Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans
- Reconcile, balance, and pursue account balances, payments, and denials
- Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class issues, and errors
- Make appeals and corrections as necessary
- Build working relationships with business units, hospital departments, and provider offices
- Identify trends in payment issues and communicate with customers to educate and correct problems
- Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues
- Provide customer service to patients, families, providers, payers, and internal customers
- Support patient financial services team goals and reduce Accounts Receivable balances
- Document information in systems, provide statistical data, prepare issue lists, and communicate accurately with payors
- Work independently under general supervision and report to a Supervisor or Manager
- Use critical thinking to solve problems and reconcile accounts promptly
Requirements:
- Minimum of 1 year experience in Customer Service and/or Call Center
- Minimum of 1 year experience in finance and/or billing experience
- Remote work restricted to residents of 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, or WV
- High school diploma/GED or equivalent working knowledge
- Knowledge of patient financial services, financial, collecting services, or insurance industry processes normally acquired over one or more years of work experience
- Ability to manage multiple tasks simultaneously with minimal supervision and work independently
- Strong interpersonal, oral, and written communication skills
- Strong knowledge of common office software, word processing, spreadsheet, and database software
- Work experience with the Company's systems and processes preferred
- Previous cash collections experience preferred
- Additional related education and/or experience preferred
Benefits:
- Great Place To Work® Certification™ workplace recognition
- Drug-free work environment
- Banner Health total rewards package (specific components not listed)
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