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PFS Representative – CBO Billing Follow-up, Denials Management

🔥 1 minute ago

🏈 Alabama, Alaska, +34 more states – Remote

infoinfo

💵 $18 - $27 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

Where this job comes from

Posted on Banner Health's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

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

• Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans accurately and timely • Reconcile, balance, and pursue account balances, payments, and denials using payer remits, contracts, customer service, provider representatives, spreadsheets, and collection policies • Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class errors, and internal/external errors • Prepare 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 internal and external customers • Work with the patient financial services team to reduce accounts receivable balances and achieve outstanding-account goals • Document information in systems, provide statistical data, prepare issue lists, and communicate accurately with payers • Work independently under general supervision and report to a Supervisor or Manager • Use critical thinking to solve problems and reconcile accounts in a timely manner

🎯 Requirements

• High school diploma/GED or equivalent working knowledge • One or more years of patient financial services, financial/collecting services, insurance industry, or medical claims experience • Experience with submitting appeals and understanding EOBs • General knowledge of codes used for claim processing • 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 • Must live in one of the 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

🏖️ Benefits

• Banner provides equipment • Full-time Monday–Friday, 8-hour day shifts • Great Place To Work® Certification™ workplace • Total rewards package

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