PFS Specialist II - Patient Financial Services

Baton Rouge General Medical Center; Baton Rouge (LA); Sur place; USD 38 000 - 60 000; Plein temps

Avantages offerts par ce poste

Comprehensive benefits

Professional development

Paid time off

Flexible schedules

Baton Rouge General Fit! program

Résumé du poste

Baton Rouge General Medical Center in Baton Rouge, LA is seeking a detail-oriented Accounts Receivable Specialist to help ensure accurate billing and timely patient care support.

You will analyze outstanding balances, establish payment plans, process ACM claims, attach EOBs, and monitor denials while maintaining HIPAA compliance. Join a team that values professional development, comprehensive benefits, and flexible options as part of a respected local healthcare leader.

Qualifications

• Detail-oriented with strong organizational and investigative skills.
• Self-motivated and proactive with a customer-first mindset.
• Prior experience in all phases of business office operations and insurance collections.
• High School Diploma or GED preferred.
• Excellent understanding and knowledge of Commercial Insurance.
• Familiarity with HIPAA regulations related to medical records and financial data.
• Knowledge of safety practices relevant to billing and administrative roles.

Responsabilités

• Analyze and follow up on outstanding balances to ensure timely reimbursement.
• Process claims into ACM and resolve invalid/rejected claims within 5 days; document status and refer issues to management.
• Process hard copy claims for payment.
• Attach EOBs for secondary/tertiary claims.
• Ensure compliance with timely filing guidelines and fee schedule review.
• Maintain practice responses to communications.
• Create and respond to spreadsheets.
• Monitor missing responses and escalate as needed.
• Resolve 'unable to bill' claims by verifying insurance information.
• Investigate reports and monitor denial trends provided by management.
• Perform other duties as assigned.

Connaissances

Detail-oriented

Organizational skills

Investigative skills

Self-motivated

Customer-first mindset

Commercial insurance knowledge

HIPAA familiarity

Safety practices knowledge

Formation

High School Diploma or GED

Outils

Ambulatory Claims Manager (ACM)

Excel

Description du poste

• Are you passionate about ensuring financial accuracy and supporting patient care through effective account resolution?**

• Are you passionate about ensuring financial accuracy and supporting patient care through effective account resolution?**

What We're Looking For

• Detail-oriented with strong organizational and investigative skills
• Self-motivated and proactive with a customer-first mindset
• Prior experience in all phases of business office operations and insurance collections
• High School Diploma or GED preferred
• Excellent understanding and knowledge of Commercial Insurance
• Familiarity with HIPAA regulations related to medical records and financial data
• Knowledge of safety practices relevant to billing and administrative roles

Why You'll Love Working With Us

At Baton Rouge General our patients aren't the only people we take care of; we take care of our team too. We are proud to offer our employees the benefits and resources they need to be their best selves at work and at home.

• A comprehensive benefits program for you and your family
• Professional development and support
• Various employee perks include generous paid time off, flexible positions, and our Baton Rouge General Fit! program
• We are a nationally and locally recognized leader in quality and ranked one of the best healthcare employers in the state

Check out our employee perks Perks | Baton Rouge General

What You Will Do

Analyze and follow up on outstanding account balances and establish acceptable payment arrangements to ensure timely and accurate reimbursement.

• Process claims populating into Ambulatory Claims Manager (ACM), resolving invalid/rejected claims within 5 days, documenting status, and referring issues to management.
• Process hard copy claims for payment
• Attach EOBs for secondary/tertiary claims
• Ensure compliance with timely filing guidelines and fee schedule review
• Maintain practice responses to communications
• Create and respond to spreadsheets
• Monitor for missing responses and elevate as needed
• Resolve “unable to bill” claims by verifying insurance information
• Investigate reports and monitor denial trends provided by management
• Perform other duties as assigned

What Sets BRG Apart

At Baton Rouge General, we are a community of compassionate, caring individuals who set the bar when it comes to healthcare excellence. Our mission is to preserve and restore health, one person at a time. From clinical to non-clinical – what you do here matters.

With over 600 licensed beds between three campuses, Baton Rouge General offers the full spectrum of care from delivering newborns to providing end of life support through hospice. With clinics located throughout Baton Rouge and the surrounding areas, our physician group provides patients with comprehensive care and a full suite of specialties, including internal and family medicine and specialty care.