PFS Representative, CBO Billing Follow-up, Denials Management

🔥 0 minutes ago

🏈 Alabama, Alaska, +34 more states – Remote

infoinfo

💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

infoinfo

👻 Ghost score 0%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

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

• Coordinate and facilitate patient billing and collection activities across billing, payment posting, collections, payer claims research, and accounts receivable • Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and payment plans accurately and timely • Coordinate with staff and physician office staff to ensure correct processing • Reconcile, balance, and pursue account balances, payments, and denials using payer remits, contracts, customer service, spreadsheets, and collection policies • Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, incorrect financial classes, and errors • Make appeals and corrections as necessary • Build working relationships with business units, hospital departments, and provider offices • Identify payment issue trends and communicate with internal and external 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, and other customers • Work toward patient financial services goals for outstanding accounts and reduce Accounts Receivable balances • Document activity, provide statistical data, prepare issue lists, and communicate accurately with payers • Work independently under general supervision and report to a Supervisor or Manager

🎯 Requirements

• 1 year patient financial services (Central Billing) or medical claims experience • Experience submitting appeals and understanding EOBs • General knowledge of codes used for claim processing • High school diploma/GED or equivalent working knowledge • Knowledge of patient financial services, financial/collecting services, or insurance industry processes 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

• Banner provides equipment • Great Place To Work® Certification™ workplace investment and wellbeing culture • Full-time Monday-Friday daytime schedule • Remote work arrangement

Apply Now

Similar Jobs

🔥 36 minutes ago

AAA

5001 - 10000

🚘 Automotive

🛡️ Insurance

📦 Logistics

Desk claims representative managing homeowners property-loss claims for AAA’s insurance and membership organization. Investigating coverage, evaluating damages, negotiating settlements, and supporting policyholders remotely.

🔥 36 minutes ago

AAA

5001 - 10000

🚘 Automotive

🛡️ Insurance

📦 Logistics

Auto claims representative investigating, evaluating, and resolving vehicle damage claims for AAA’s insurance and roadside-services organization. Handling coverage, settlements, repairs, liability, and subrogation.

🔥 56 minutes ago

DCS - Designed Conveyor Systems

51 - 200

💼 Consulting

📦 Logistics

🏭 Manufacturing

Client Development Representative generating qualified B2B opportunities for DCS, a warehouse automation and conveyor design solutions company. Researching target accounts and building relationships with prospective customers.

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🔥 1 hour ago

CenterWell Senior Primary Care

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

Inbound representative resolving member benefit questions and grievances for Humana’s integrated healthcare services. Providing customer education and support remotely across eight U.S. states.

🇺🇸 United States – Remote

💵 $38k - $45.8k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🔥 4 hours ago

MSD

10,000+ employees

🏥 Healthcare

📦 Logistics

🧬 Biotechnology

HIV field sales representative supporting Merck’s South Florida healthcare customers. Managing Virology accounts, payer access, and customer strategies across Southeast Florida.

🇺🇸 United States – Remote

💵 $106.2k - $167.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

infoinfo

🗣️🇪🇸 Spanish Required