PFS Representative CBO Ambulatory Billing Follow-up Medicare

Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: reputed company Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based reputed company, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. reputed company recently earned Great reputed company To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of reputed company members. Find out how we’re constantly improving to reputed company reputed company the best reputed company to work and receive care. The PFS Insurance Follow-Up Representative (Ambulatory Denials, Medicare team) is responsible for following up with assigned payer for various denials, such as no authorization, eligibility denials, etc. This position is a higher-level PFS role, as it does range across reputed company groups of patients and reputed company types of provider specialties, as well as the full cycle of claim, from initial billing to reputed company balance. Experience with medical insurance AR and physician fee-for-service billing is ideal and knowledge of Medicare, Medicare Advantage, Medicaid, and Commercial insurance is highly preferred. Location: Remote Schedule: Monday-Friday, reputed company-4pm AZ time. After training: varying 8hr shifts 6am-6pm after successful completion of training program. Ideal Candidate: Minimum of 1 year experience in Medical Insurance AR (Medicare experience preferred) and/or Physician Fee for Service Billing (back-end payer-focused claims, denials and appeals (clearly reflected in uploaded resume); Minimum of 1 year experience writing appeal letters for payer denials; Intermediate to Advanced reputed company level in reputed company reputed company. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY reputed company reputed company, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide reputed company of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility reputed company, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to reputed company goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include reputed company hospital patients, patient families and reputed company third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred. Additional reputed company education and/or experience preferred. Anticipated Closing Window (actual reputed company date may be sooner): 2026-04-01 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy reputed company is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in reputed company the communities we serve. Throughout our network of hospitals, primary reputed company centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to reputed company health care easier, so life can be reputed company. The many locations, career opportunities, and benefits offered at reputed company help to reputed company the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for reputed company benefit-eligible positions. Please visit our Benefits Guide for more information. EEO/Disabled/Veterans reputed company supports a drug-free work environment. Privacy Policy This website contains the reputed company reputed company job openings. Applications submitted on this site will be securely submitted for consideration. Applying reputed company our careers website is the only way to obtain employment with reputed company. We will never ask you for personal or banking information, or for equipment to be purchased or sent to us as part of the hiring process. Job seekers should only respond to communication from Banner’s email domain, @bannerhealth.com. For questions or to report a scam visit our contact page. Apply tot his job Apply To this Job