Patient Financial Services Follow Up Representative

🔥 0 minutes ago

🌴 South Carolina – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Logo of Prisma Health

Prisma Health

10,000+ employees

Founded 2017

🏥 Healthcare

💰 Grant on 2024-08

Healthcare

Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site.

📋 Description

• Perform accurate and timely follow up on variances, no payments, and denials for all payers on billed accounts receivable • Review prior account activity and contact payers or use payer websites to obtain current outstanding accounts receivable status • Correct claims or obtain requested information from payers • Use appropriate workflows and complete detailed account notes for next steps or resolution • Perform daily collections, variance, and technical-denial duties to drive accounts toward resolution • Interpret and apply managed care contract terms for payer resolution • Escalate accounts to payers, internal teams, or patients when appropriate to minimize aging • Identify trends, repeated problems, and charge corrections and report them to management • Contribute to the Patient Financial Services department matrix and assist coworkers as time allows • Meet productivity and quality standards, identify improvement areas, monitor quality, determine root causes, and act on quality problems • Perform other duties as assigned

🎯 Requirements

• High School diploma or equivalent OR post-high school diploma/highest degree earned • Two (2) years medical billing, customer service, follow up and/or medical office experience • CRCA preferred • CRCR preferred • Proficient in Microsoft Office applications including Word, Excel, Outlook, and Teams • Communication skills • Understanding of and adherence to compliance with laws and regulations • Medical billing, follow up and/or medical office skills • Analytical skills • Attention to detail

🏖️ Benefits

• Remote work indicated in the job title • Day shift • Professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations

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