PFS Insurance Follow-Up Representative

Job Summary

Working remotely on a full-time basis, the PFS Insurance Follow-Up Representative will manage the follow-up on payer denials, including authorization and eligibility issues, while coordinating patient billing and collection activities across various specialties.

Key responsibilities

• Process payments, adjustments, claims, and denials accurately and timely to meet quality and productivity goals
• Research and resolve payment discrepancies, making necessary appeals and corrections to ensure maximum reimbursement
• Build strong relationships with internal and external clients, providing excellent customer service and addressing billing issues

Required qualifications

• 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
• High school diploma/GED or equivalent working knowledge
• Knowledge of patient financial services and insurance industry processes