PFS Representative Medicare Follow-Up

Job Summary

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

Key Responsibilities

• Follow up with assigned payers for various denials such as no authorization and eligibility denials
• Process payments, adjustments, claims, and resolve billing issues to ensure timely reimbursement
• Build strong working relationships with internal and external clients to identify trends in payment issues

Required Qualifications

• Minimum of 1 year experience in Medical Insurance AR 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