Patient Financial Services Follow Up Representative

🔥 0 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

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

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Perform accurate and timely follow up on variances, no payments, and denials for billed accounts receivable across all payers • Review prior account activity and contact payers or use payer websites to determine outstanding accounts receivable status • Correct claims or obtain requested information from payers • Complete appropriate workflows and detailed account notes to support next steps and resolution • Perform daily collection, 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 departments, 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 improvements, 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 • Proficient in Microsoft Office applications including Word, Excel, Outlook, and Teams • Communication skills • Understands, promotes and adheres to all matters of compliance with laws and regulations • Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise • Medical billing, follow up and/or medical office skills • Analytical skills • Attention to detail • CRCA preferred • CRCR preferred