PFS Representative, CBO Billing Follow-up – Denials Management

🕒 July 21

🌵 Arizona, Colorado, +3 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 55%

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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

• 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 • Work with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets, and collection/self-pay policies • Research payments, denials, and accounts to determine 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 trends in payment issues and communicate solutions to internal and external customers • Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues • Reduce accounts receivable balances and support timely, accurate reimbursement • 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 of patient financial services (Central Billing) or medical claims experience • Experience with 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 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 • Must live in one of the listed eligible states: 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, WV, WY

🏖️ Benefits

• Banner provides equipment • Full-time Monday-Friday schedule with 8-hour shifts • Remote work arrangement • Banner Health total rewards package • Drug-free work environment

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