PFS Representative Billing Specialist

Job Summary

Working remotely, the full-time PFS Representative Billing Specialist will manage billing follow-up and denials management by collaborating with insurance companies to secure payments for patient services while utilizing their expertise in medical claims and EOBs.

Key responsibilities

• Coordinate and facilitate patient billing and collection activities, ensuring timely and accurate reimbursement for services
• Research and resolve payment discrepancies, denials, and appeals while maintaining strong relationships with internal and external stakeholders
• Document and communicate effectively with payors and assist patients and providers with billing inquiries

Required qualifications

• High school diploma/GED or equivalent working knowledge
• At least 1 year of experience in patient financial services or medical claims
• Experience with submitting appeals and understanding of Explanation of Benefits (EOB)
• Proficiency in common office software, including word processing and spreadsheets
• Ability to work independently with minimal supervision and manage multiple tasks simultaneously