Patient Financial Services (PFS) Account Representative I

NCMH External Candidates; Newberry (SC); On-site; USD 42,000 - 56,000; Full time

Job summary

Newberry Health in Newberry County, SC is seeking a full-time Patient Financial Services Account Representative I to join our team.

This role analyzes accounts receivable, follows up with payers and patients, resolves unpaid claims, and ensures payment in accordance with payer contracts while adhering to billing laws.

Collaborate with hospital departments, physicians, and staff to secure timely payments and maintain accurate accounts.

Qualifications

• Associates Degree or higher or High School Diploma with two (2) years or more of revenue cycle experience.
• Successful completion of basic medical terminology course work.
• Proven knowledge of Microsoft products to include; Outlook, Excel and Word.
• Excellent written and verbal communication skills.
• Ability to multi-task and prioritize.
• Versatile and flexible, willing to work within changing priorities.
• Prior experience with the Meditech BAR system.
• HFMA CPAR certification.

Responsibilities

• Analyze accounts receivable and resolve unpaid claims.
• Handle billing inquiries from payers and patients.
• Follow up with third-party payers to secure payment per contracts.
• Collaborate with hospital departments and staff to ensure accurate payments.
• Ensure compliance with federal and state billing laws and regulations.

Skills

Communication skills

Multitasking

Decision making

Adaptability

Education

Revenue cycle experience (2+ yrs)

Medical terminology coursework

HFMA CPAR certification

Meditech BAR system experience

Tools

Outlook

Excel

Word

Job description

Description

Are you ready to make a meaningful impact in the lives of others while working in a supportive, community-focused environment?

Newberry Health is seeking a full-time Patient Financial Services (PFS) Account Representative I to join our exceptional team.

Located in Newberry County, SC, Newberry Health is a 90-bed, acute-care, independent, not-for-profit hospital recognized with the Joint Commission Gold Seal of Approval. We are proud of our strong leadership, dedicated staff, and commitment to providing high-quality care for our patients.

Job Summary

The Patient Financial Services Account Representatives are responsible for analyzing accounts receivable, resolving unpaid claims and handling billing inquiries. This includes follow up with third party payers as well as patients to ensure that payment is received in accordance with the payer contract. PFS Account Representatives comply with all applicable federal and state billing laws and regulations. Work is performed collaboratively with all team members of hospital departments, physicians and physician office staff, third party payers and patients to ensure accurate and timely payment.

Requirements

Education and Experience:

• Associates Degree or higher or High School Diploma or equivalent with two (2) years or more of specific revenue cycle job-related experience
• Successful completion of basic medical terminology course work
• Proven knowledge of Microsoft products to include; Outlook, Excel and Word
• Excellent written and verbal communication skills
• Ability to multi-task and prioritize
• Versatile and flexible, willing to work within constantly changing priorities
• Prior experience with the Meditech BAR system
• Healthcare Financial Management Association (HFMA) – Certified Patient Account Representative (CPAR)
• Exhibits effective and independent decision-making skills

Certificates, Licenses, and Registrations:

• Healthcare Financial Management Association (HFMA) – Certified Patient Account Representative (CPAR)

Newberry County Memorial Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.