PFS Collection Specialist

Confluent Health; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider seeks a PFS Collection Specialist to manage patient account collections in a remote setting. The role involves monitoring accounts, responding to inquiries, and ensuring timely reimbursements while upholding high customer service standards. Ideal candidates will have a high school diploma, with preferred experience in a medical office, and strong problem-solving skills.

Benefits

Health, Dental, Vision insurance

PTO

Paid Holidays

Sick Days

Qualifications

• Proficient in computer and Windows-based technologies.
• Prior work experience in a medical office preferred.
• Ability to manage multiple tasks independently.

Responsibilities

• Monitors outstanding account balances for collections.
• Follows up on claims and claims denials.
• Generates and audits billing paperwork for accuracy.

Skills

Problem-solving

Attention to detail

Communication

Organizational skills

Education

High school diploma or GED

Job description

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Join to apply for the PFS Collection Specialist role at Confluent Health

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Overview

Position Summary:

Responsible for collecting commercial, government, and patient balances by following the approved processes, policies and procedures set by the revenue cycle department.

Benefits:

• Health, Dental, Vision insurance.
• PTO
• Paid Holidays
• Sick Days
• Much, much more.
  
  

Responsibilities

This is a remote position.

Essential Functions:

Monitors outstanding account balances to determine the next step in the collection process.

Follows up on claims and claim denials to ensure maximum reimbursement for services provided.

Reviews accounts receivable activities and calls on outstanding balances or claims.

Generates appropriate paperwork, including insurance claim forms (original and re-filed) and collection letters.

Reviews insurance payments (Explanation of Benefits - EOB’s) to determine whether reimbursement is accurate. Navigate portals to send claims for adjudication.

Investigates and appeals denied or underpaid claims.

Responds to all inquiries received from patients and payors either by telephone or written request.

Tracks and resolves discrepancies.

Follows-up on unpaid insurance claims after denial to obtain settlement of claim.

Audit insurance and patient accounts to determine whether a refund is needed.

Promptly and courteously responds to all inquiries received from payors and patients either by telephone or written request.

Provides clear communication and customer service on collection issues to external customers and internal business partners.

Helps patients develop patient payment plans.

Identifies patterns and trends that indicate a potential issue.

Adheres to all policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

Performs other duties that may be necessary or in the best interest of the organization.

Submits billing data to insurance providers.

Participates in continuing educational activities relative to assigned duties and responsibilities.

Qualifications

Qualifications/Skills:

High school diploma or GED required.

Computer proficiency and experience in windows-based technologies

Ability to be discrete and security confidential and sensitive information.

Prior Work Experience In a Medical Office Setting Preferred.

Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently.

Ability to handle difficult situations with a positive attitude.

Good interpersonal, oral and written communication skills.

Strong organizational and time management skills.

Ability to adhere to deadlines timely.

Must be able to work as part of a team with peers and leadership within the organization.

Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situations.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Physical, Occupational and Speech Therapists

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