PFS Quality Analyst

Banner Health; Phoenix (AZ); Remote; USD 60,000 - 80,000; Full time

Job summary

An innovative healthcare organization is seeking a PFS Quality Analyst to enhance financial accuracy and compliance within patient financial services. This role involves analyzing accounts, recommending contract adjustments, and collaborating with various departments to ensure optimal reimbursement. With a focus on problem-solving and critical thinking, the successful candidate will play a vital role in maintaining financial integrity and supporting process improvements. If you are passionate about healthcare and financial services, this is an exciting opportunity to make a meaningful impact.

Qualifications

• 3-5 years in patient financial services or accounting.
• Strong mathematical skills and understanding of medical terminology.

Responsibilities

• Analyze patient accounts for reimbursement accuracy.
• Process refunds and adjustments accurately and timely.
• Collaborate with departments to maintain workflow.

Skills

Mathematical Skills

Communication Skills

Critical Thinking

Understanding of Medical Terminology

Knowledge of Insurance Laws

Education

Bachelor's Degree

Equivalent Experience

Tools

Billing/Collections Systems

Office Software

Job description

Join to apply for the PFS Quality Analyst role at Banner Health.

Get AI-powered advice on this job and more exclusive features.

Estimated Pay Range: $24.32 - $36.48 / hour, based on location, education, & experience.

Department Name: Acute Billing & Follow Up-Corp

Work Shift: Day

Job Category: Revenue Cycle

Location: Remote position available if residing in 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

Position Summary: This role involves analyzing and auditing registration functions supporting Patient Financial Services to ensure compliance and optimize reimbursement. Responsibilities include identifying system issues, correcting account discrepancies, and reporting trends to management. The position requires collaboration with multiple departments and external partners to maintain workflow and financial accuracy.

Core Functions:

• Analyze patient accounts for reimbursement accuracy and recommend contract adjustments.
• Process refunds, adjustments, and corrections accurately and timely.
• Identify and recommend solutions for system processing issues.
• Utilize multiple systems to generate data and communicate with payers.
• Build relationships across departments, analyze trends, and present reports.
• Reconcile payments and respond to inquiries to resolve credit balances.
• Provide training, feedback, and support process improvements.
• Work independently, using critical thinking to solve problems and reconcile accounts.

Minimum Qualifications: Bachelor's degree or equivalent, 3-5 years in patient financial services or accounting, strong mathematical skills, understanding of medical terminology and insurance laws, proficiency in office software, and excellent communication skills.

Preferred Qualifications: Experience with billing/collections systems, leadership, training, or clinical background.

EEO Statement: We support a drug-free work environment and are committed to diversity and inclusion.