PFS Representative, CBO Billing Follow-up, Denials Management

🕒 August 27

🏈 Alabama, Alaska, +35 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 25%

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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

• Coordinate and facilitate patient billing and collection activities, including billing, payment posting, collections, payor claims research, and accounts receivable work • Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and payment plans accurately and timely • Reconcile, balance, and pursue account balances, payments, and denials using payor remits, contracts, customer service, spreadsheets, and collection policies • Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class errors, and internal/external errors • Submit appeals and make corrections as necessary • Build relationships with business units, hospital departments, and provider offices • Identify payment-issue trends and educate internal and external customers • Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues • Reduce accounts receivable balances and achieve patient financial services goals • 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

• 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 • Must live in one of the listed eligible states: Alabama, Alaska, Arkansas, Arizona, California, Colorado, Florida, Georgia, Iowa, Idaho, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Mississippi, North Carolina, North Dakota, Nebraska, New Hampshire, New York, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin, West Virginia, or Wyoming • High school diploma/GED or equivalent working knowledge • Knowledge of patient financial services, financial/collecting services, or insurance industry processes • 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® Certified™ workplace • Full-time Monday-Friday schedule with 8-hour shifts

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