PFS Billing Representative | Full Time | Day

Concord Hospital • Remote (NH, United States) • $200k - $250k / year • 4m ago

PFS Billing Representative | Full Time | Day

Summary

The Patient Financial Services Billing Representative is responsible for accessing full insurance benefits for our patients, by claim submission, account follow-up, and denial resolution.

Education

High school diploma or equivalent (GED).

Certification, Registration & Licensure

None required.

Experience

Knowledge of, and aptitude with regulatory mandates and insurance requirements is essential. Minimum of three years experience in a health care or business environment. Proficient in ability to navigate Microsoft Office applications and the ability to navigate in a Windows based environment.

Responsibilities

Manages claims work files, work lists, and reports to meet production goals.
Performs research and analysis to identify internal or external barriers to claim submission and/or payer claim adjudication.
Follows department policies and procedures, and regulatory mandates related to claim submission and account follow-up.
Acquires technical proficiency and applies computer skills across multiple applications.

Physical and Work Requirements

The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The Dictionary of Occupational Titles Material Handling Classification is SEDENTARY. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull less than 10 pounds, and occasionally lift, carry or push/pull up to 10 pounds.

While performing the duties of this Job, the employee is regularly required to do repetitive motion, hear, and sit. The employee is frequently required to do fine motor, reach, and speak. Specific vision abilities required by this job include far vision, and near vision. The employee is occasionally exposed to moving mechanical parts. The noise level in the work environment is usually moderate.

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