Patient Financial Services Follow Up Representative

🔥 14 hours ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Prisma Health

WebsiteLinkedInAll Job Openings

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 billed accounts receivable for all payers, including variances, no payments, and denials • Follow up on aged and high-dollar accounts • Compare expected and actual reimbursement and pursue identified payer variances • Work with other departments to resolve missing payments, payer delays, and technical denials • Analyze prior account activity and contact payers or use payer websites to determine outstanding account status • Correct claims or obtain requested information for payers • Use appropriate workflows and document detailed account notes for next steps and 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 for management • Contribute to the PFS 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 • Report to a supervisor, manager, director, or executive in this non-management role

🎯 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 • Ability to work day shift

🏖️ Benefits

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