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Patient Financial Services Follow Up Representative

🔥 6 minutes ago

🌴 South Carolina – Remote

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⏰ Full Time

🟢 Junior

🟡 Mid-level

đź’¸ Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Prisma Health

Prisma Health

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.

đź“‹ Description

• Perform accurate and timely follow-up on billed accounts receivable, including payer variances, no payments, and denials • Review 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 notes on every account • 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 Patient Financial Services department matrix • Assist co-workers as time allows while meeting productivity and quality standards • Identify improvement areas, monitor quality levels, 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 of medical billing, customer service, follow-up and/or medical office experience • Medical billing, follow-up and/or medical office skills • Communication skills • Analytical skills • Attention to detail • Understanding of and adherence to laws, regulations, and compliance requirements • CRCA preferred • CRCR preferred

🏖️ Benefits

• Professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations • Day shift schedule • Remote work designation

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