PFS Claims & Billing Specialist I

Iberia Medical Center; New Iberia (LA); On-site; USD 35,000 - 52,000; Full time

Job summary

Iberia Medical Center is seeking a PFS Specialist I to support timely filing and collection of insurance claims and to help resolve patient requests. This role reports to the PFS Assistant Manager and contributes to accurate accounting of payor reimbursements.

The ideal candidate offers 2-3 years of hospital business office experience, with thorough knowledge of insurance reimbursement methods and a high school diploma or equivalent.

Qualifications

• 2-3 years hospital business office experience related to filing and collection of insurance claims.
• Must have thorough knowledge of insurance reimbursement methods.

Responsibilities

• Ensures that designated Medicaid, Commercial, Workman Compensation or Medicare insurance claims are filed to the insurance company in a timely and accurate manner.
• Ensures that any denials, requests for re-files, etc., that are received from the insurance company are followed-up on within 3-5 business days.
• Ensures that all monies due from insurance companies are received within acceptable timeframes, and in accordance with contractual payor arrangements.
• Assists in helping to resolve any patient requests/issues, and ensures that all actions taken on account are thoroughly noted in the computer system.
• Completes Medicare Credit Balance report timely and correctly on a quarterly basis if applicable.

Skills

Insurance claims processing

Education

High school diploma or equivalent

Job description

Iberia Medical Center is seeking a PFS Specialist I to support timely filing and collection of insurance claims and to help resolve patient requests. This role reports to the PFS Assistant Manager and contributes to accurate accounting of payor reimbursements.

The ideal candidate offers 2-3 years of hospital business office experience, with thorough knowledge of insurance reimbursement methods and a high school diploma or equivalent.