Senior PFS Specialist: Denials & Revenue Integrity

Anchorage Neighborhood Health Center; Anchorage (AK); On-site; USD 36,341 - 54,511; Full time

Job summary

Anchorage Neighborhood Health Center is seeking a skilled Patient Financial Services Representative III in Anchorage, AK. This role involves managing complex revenue cycle functions and includes high-level denial resolution, trend analysis, and collaboration across departments.

With a required five years of experience in medical billing, the candidate will work on high-dollar accounts and provide guidance to team members. Strong knowledge of coding and payer requirements is essential for success in this role.

Qualifications

• Minimum of five years in medical billing or revenue cycle operations.
• Advanced competency in managing complex accounts.
• Knowledge of payer contracts and reimbursement structures.

Responsibilities

• Manage high-complexity accounts and resolve issues.
• Oversee accuracy of claim lifecycles for complex accounts.
• Collaborate with providers to improve charge capture.

Skills

ICD-10 coding

CPT coding

HCPCS coding

NDC coding

Denial management

Data analysis

Microsoft Office

Communication skills

Education

High school diploma or equivalent

Tools

Billing systems

EHR platforms

Job description

Anchorage Neighborhood Health Center is seeking a skilled Patient Financial Services Representative III in Anchorage, AK. This role involves managing complex revenue cycle functions and includes high-level denial resolution, trend analysis, and collaboration across departments.

With a required five years of experience in medical billing, the candidate will work on high-dollar accounts and provide guidance to team members. Strong knowledge of coding and payer requirements is essential for success in this role.