PFS Representative - Billing Denials

Job Summary

Working remotely, the full-time PFS Representative - Billing Denials will manage billing and collection activities, assist with obtaining payments from insurance companies, and research denials to ensure timely reimbursement for services.

Key responsibilities

• Process payments, adjustments, claims, and denials accurately and timely, meeting productivity goals
• Research payments and denials to identify discrepancies and make necessary appeals
• Build strong relationships with internal and external stakeholders to resolve billing and payment issues

Required qualifications

• High school diploma/GED or equivalent working knowledge
• At least one year of experience in patient financial services or medical claims
• Experience with submitting appeals and understanding explanation of benefits (EOB)
• General knowledge of codes used for claim processing
• Strong knowledge in common office software, including word processing and spreadsheets