PFS Specialist II: Healthcare Claims & Billing Expert

Iberia Medical Center; New Iberia (LA); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical benefits

Early wage access

Pension plan

Dental & vision

Life & disability

Job summary

Iberia Medical Center (IMC) in New Iberia, LA is seeking team members for the Patient Financial Services (PFS) Support II role. This full-time position supports resolving unpaid claims across Commercial, Medicare, Medicaid, and other payer types, and provides back-up coverage as needed.

The role requires a High School diploma and 2-3 years hospital business office experience handling filing and collection of claims.

Qualifications

• High School Graduate or equivalent.

Responsibilities

• Resolves all assigned unpaid claims including Commercial, Medicare, Medicare Replacement, Workman’s Comp, VA, Hospice, or Medicaid on the Monthly ATB reports and ensures all accounts are paid in a timely manner.
• Provides back-up coverage to Commercial, Medicare and Medicaid Billers for billing or follow-up as needed.
• Provides back-up coverage to the Credit Balance Clerk as needed.
• Ensures unresolved issues for accounts on Medicare, Medicaid and/or Commercial remittance advices are resolved weekly.
• Ensures assigned denials/refiles are followed up within 3-5 business days.
• Edits and prepares Medicaid Claims to be filed daily; ensures transmission of claims is completed and received by Medicaid.
• Assist with completion of Medicare Credit Balance quarterly report.
• Initial billing of all claims generated within inpatient and outpatient Behavioral Health facility.
• Assist with Contract Management underpayment appeals and research.

Education

High School Graduate or equivalent

Job description

Iberia Medical Center (IMC) in New Iberia, LA is seeking team members for the Patient Financial Services (PFS) Support II role. This full-time position supports resolving unpaid claims across Commercial, Medicare, Medicaid, and other payer types, and provides back-up coverage as needed.

The role requires a High School diploma and 2-3 years hospital business office experience handling filing and collection of claims.