PFS Insurance Follow-Up Representative

Job Summary

A company is looking for a PFS Insurance Follow-Up Representative (Ambulatory Denials).

Key Responsibilities

• Follow up with payers on various denials and ensure accurate processing of payments, adjustments, and claims
• Research and resolve payment discrepancies and appeals while maintaining strong relationships with internal and external clients
• Document activities and provide statistical data to support billing and collection efforts

Required Qualifications

• High school diploma or GED
• Minimum of 1 year experience in Medical Insurance Accounts Receivable and/or Physician Fee for Service Billing
• Minimum of 1 year experience writing appeal letters for payer denials
• Intermediate to Advanced skill level in Microsoft Excel
• Knowledge of patient financial services and insurance industry processes