PFS Representative, CBO AR Denial Follow Up

Job not on LinkedIn

🔥 1 minute ago

🐻 Alaska, Arizona, +33 more states – Remote

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💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Banner Health

Banner Health

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Check claim status through payer portals, phone calls, or email • Take necessary actions to resolve denials and ensure payment • Verify eligibility and provider credentialing • Send accounts to coding for changes • Provide medical records to demonstrate medical necessity • Identify trends and issues with payers • Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and payment plans as assigned • Reconcile, balance, and pursue account balances, payments, and denials • Research payments, denials, and accounts to identify underpayments, overpayments, contract discrepancies, financial-class errors, and internal/external errors • Make appeals and corrections as necessary • Build relationships with business units, hospital departments, and provider offices • Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues • Work with the patient financial services team to achieve outstanding-account goals and reduce accounts receivable balances • Document information in systems, provide statistical data, prepare issue lists, and communicate with payors • Work independently under general supervision and report to a Supervisor or Manager

🎯 Requirements

• High school diploma/GED or equivalent working knowledge • One or more years of work experience in patient financial services, financial services, collecting services, or the insurance industry • 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 • Must live in one of these states: Alaska, Arizona, Arkansas, California, Colorado, Georgia, Florida, Iowa, Idaho, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Missouri, Minnesota, Mississippi, New Hampshire, New Mexico, New York, North Carolina, North Dakota, Nebraska, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin, West Virginia, Washington, or Wyoming • Availability Monday–Friday, 8:30am–5pm Arizona time, with some flexibility after training

🏖️ Benefits

• Remote work options • EEO/Disabled/Veterans • Drug-free work environment

Apply Now

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