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PFS Representative
Banner Health. Follow up with assigned payers on denials, including authorization and eligibility denials .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medical Insurance Accounts Receivable and Physician Fee for Service Billing, with strong capabilities in managing denials, appeals, and patient financial services. Proficient in Microsoft Excel and common office software, with a focus on effective communication and relationship-building.
Highest-signal resume keywords
Medical Insurance Accounts ReceivablePhysician Fee for Service BillingAppeal Letter WritingMicrosoft ExcelPatient Financial Services
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Denial ManagementPayment ProcessingAccount ReconciliationFinancial AnalysisClaims Processing
Soft Skills
Interpersonal CommunicationOral CommunicationWritten CommunicationTask ManagementIndependent Work
Tools & Technologies
Office SoftwareWord Processing SoftwareSpreadsheet SoftwareDatabase Software
Industry Keywords
Patient Financial ServicesCash CollectionsInsurance Industry ProcessesFinancial Services
About the role
Key responsibilities & impact- Follow up with assigned payers on denials, including authorization and eligibility denials
- Coordinate and facilitate patient billing and collection activities
- Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans
- Reconcile, balance, and pursue account balances, payments, and denials
- Research payments, denials, and accounts to identify short/overpayments, contract discrepancies, financial-class errors, and other issues
- Make appeals and corrections as necessary
- Build relationships with business units, hospital departments, and provider offices
- Identify payment trends and communicate solutions to internal and external customers
- Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues
- Reduce accounts receivable balances and support patient financial services goals
- Document information in systems, provide statistical data, prepare issue lists, and communicate with payors
- Work independently under general supervision and report to a Supervisor or Manager
Requirements
What you’ll need- Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing
- Minimum of 1 year experience writing appeal letters for payer/payor denials
- Intermediate to Advanced skill level in Microsoft Excel
- High school diploma/GED or equivalent working knowledge
- Knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
- Ability to manage multiple tasks simultaneously with minimal supervision and to work independently
- Strong interpersonal, oral, and written communication skills
- Strong knowledge of common office software, word processing, spreadsheet, and database software
- Work experience with the Company's systems and processes preferred
- Previous cash collections experience preferred
- Additional related education and/or experience preferred
Benefits
Comp & perks- Great Place To Work® Certification™ workplace
- Stimulating and rewarding careers
- Total rewards package