PFS Insurance Follow-Up Rep Ambulatory Denials

Banner Health; Wisconsin; Remote; USD 10,000 - 60,000; Full time

Job summary

A healthcare organization is seeking a PFS Insurance Follow-Up Rep to coordinate patient billing and collection activities. This remote position requires at least 1 year of experience in medical insurance accounts receivable and strong skills in Microsoft Excel. The ideal candidate should be able to manage multiple tasks independently and have effective communication abilities. The role offers a pay range of $18.02 - $27.03 per hour.

Qualifications

• Minimum 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing.
• Ability to manage multiple tasks simultaneously with minimal supervision.
• Strong knowledge in the use of common office software.

Responsibilities

• Coordinate patient billing and collection activities.
• Process payments, adjustments, claims, and refunds accurately.
• Research payments and determine contract discrepancies.

Skills

Medical Insurance AR

Writing appeal letters

Microsoft Excel

Interpersonal communication

Education

High school diploma/GED

Tools

Common office software

Job description

PFS Insurance Follow-Up Rep Ambulatory Denials

Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience.

Department: Revenue Cycle
Work Shift: Day
Location: Remote
Schedule: Monday-Friday, varying shifts 6am-6pm after successful completion of training program.

Ideal Candidate:

• Minimum 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing.
• Minimum 1 year experience writing appeal letters for payer denials.
• Intermediate to Advanced skill level in Microsoft Excel.

Remote position available for residents in states: 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.

Position Summary: Coordinates and facilitates patient billing and collection activities in 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:

• Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans accurately and timely.
• Reconcile, balance, and pursue account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets. Pursue maximum reimbursement.
• Research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Make appeals and corrections as necessary.
• Build strong working relationships with assigned business units, hospital departments or provider offices. Identify trends in payment issues and communicate with internal and external customers as appropriate.
• Respond to incoming calls and make outbound calls as required to resolve billing, payment and accounting issues.
• Work as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduce Accounts Receivable balances.
• Use systems to document and provide statistical data, prepare issue lists and communicate with payors accurately.
• Work independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manager. Use critical thinking skills to solve problems and reconcile accounts in a timely manner.

Minimum Qualifications:

• High school diploma/GED or equivalent working knowledge.
• Requirements include knowledge of patient financial services, financial services or insurance industry experience normally acquired over one or more years of work experience.
• Ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Strong interpersonal, oral and written communication skills to interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet and database software.

Preferred Qualifications:

• Work experience with the Company’s systems and processes is preferred.
• Previous cash collections experience is preferred.

Anticipated Closing Window: 2026-02-11

EEO Statement: EEO/Disabled/Veterans

Our organization supports a drug‑free work environment.