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PFS Representative, DME Collections
Banner Health. Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans accurately and timely .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Patient Financial Services and Accounts Receivable management, with a strong focus on maximizing reimbursement and resolving billing issues. Proficient in utilizing critical thinking and communication skills to build relationships and address payment discrepancies effectively.
Highest-signal resume keywords
Patient Financial Services ExperienceAccounts Receivable ManagementHealthcare Revenue Cycle KnowledgeStrong Communication SkillsDurable Medical Equipment (DME) Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment ProcessingClaims ManagementFinancial ReconciliationDenial ManagementAppeals and CorrectionsStatistical Data DocumentationCash CollectionsInsurance Industry ProcessesProblem SolvingMulti-tasking
Soft Skills
Interpersonal SkillsOral CommunicationWritten CommunicationIndependent WorkCritical Thinking
Tools & Technologies
WaystarOffice SoftwareSpreadsheet SoftwareDatabase Software
Industry Keywords
HealthcareRevenue CycleFinancial ServicesCollectionsPatient Accounts
About the role
Key responsibilities & impact- Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans accurately and timely
- Coordinate with staff members and physician office staff to ensure correct processing
- Reconcile, balance, and pursue account balances, payments, and denials
- Work with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets, and collection/self-pay policies to maximize reimbursement
- Research payments, denials, and accounts to identify short/over payments, contract discrepancies, incorrect financial classes, and errors
- Make appeals and corrections as necessary
- Build relationships with business units, hospital departments, and provider offices
- Identify payment issue trends and communicate solutions to internal and external customers
- Respond to incoming calls and make outbound calls to resolve billing, payment, and accounting issues
- Work toward patient financial services goals for outstanding account days and dollars
- Reduce Accounts Receivable balances
- Document activity and provide statistical data using systems; prepare issue lists and communicate accurately with payors
- Work independently under general supervision and report to a Supervisor or Manager
- Use critical thinking to solve problems and reconcile accounts timely
Requirements
What you’ll need- 1 year experience in Patient Financial Services, Collections and Accounts Receivable, and healthcare Revenue Cycle experience
- Experience with Durable Medical Equipment (DME) and/or Waystar is ideal
- Must live in one of the listed eligible states: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY
- High school diploma/GED or equivalent working knowledge
- Knowledge of patient financial services, financial/collecting services, or insurance industry processes
- Ability to manage multiple tasks simultaneously with minimal supervision and 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 is preferred
- Previous cash collections experience is preferred
- Additional related education and/or experience is preferred
Benefits
Comp & perks- Remote work
- Banner provides equipment
- Flexible schedule after successful completion of Training
- Great Place To Work® Certification™ workplace investment and team member wellbeing initiatives