PFS Specialist: Patient Financial Services & Collections

Baton-Rouge-General; Baton Rouge (LA); On-site; USD 38,000 - 52,000; Part time

Benefits offered by this job

Benefits package

Professional development

Generous paid time off (PTO)

Flexible work arrangements

BRG Fit program

Job summary

Baton Rouge General is seeking a PRN PFS Specialist to support financial excellence and patient care. The role focuses on analyzing and following up outstanding balances and establishing payment arrangements.

You will perform status checks on claims, process hard copy claims, obtain EOBs, review guidelines, and reference management for issues. Strong understanding of commercial insurance and HIPAA compliance is expected.

Qualifications

• 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.
• Dedication to regulatory compliance, ethical standards, and patient/employee safety.
• Strong initiative, teamwork, and communication skills.

Responsibilities

• Perform status checks on claims submitted to payers with no response after 45 days, including checking payer websites, contacting payers by phone, and documenting actions.
• Process hard copy claims for payment, obtain EOBs for coordination of coverage, review claims for guidelines, and refer issues to management.
• Maintain practice responses to communications, create/respond to RAI or spreadsheets, monitor responses, and escalate issues.
• Handle special projects, resolve “unable to bill” claims, investigate reports, and monitor denials.
• Perform all other duties as assigned.

Skills

Communication skills

Teamwork

Initiative

Regulatory compliance

Patient care

Insurance collections

Business office operations

Education

High School Diploma or GED

Job description

Baton Rouge General is seeking a PRN PFS Specialist to support financial excellence and patient care. The role focuses on analyzing and following up outstanding balances and establishing payment arrangements.

You will perform status checks on claims, process hard copy claims, obtain EOBs, review guidelines, and reference management for issues. Strong understanding of commercial insurance and HIPAA compliance is expected.