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Confluent Health · 3 weeks ago

PFS Collection Specialist

United States

Full-time

Remote

New Grad, Entry Level

$18/hr - $21/hr

Confluent Health is looking for a PFS Collection Specialist who is responsible for collecting commercial, government, and patient balances. The role involves following approved processes to maximize reimbursement and providing excellent customer service in the collection process.

FitnessHealth CareWellness

Growth Opportunities

H1B Sponsor Likely

Responsibilities

Monitors outstanding account balances to determine the next step in the collection process

Follows up on claims and claim denials to ensure maximum reimbursement for services provided

Reviews accounts receivable activities and calls on outstanding balances or claims

Generates appropriate paperwork, including insurance claim forms (original and re-filed) and collection letters

Reviews insurance payments (Explanation of Benefits - EOB’s) to determine whether reimbursement is accurate. Navigate portals to send claims for adjudication

Investigates and appeals denied or underpaid claims

Responds to all inquiries received from patients and payors either by telephone or written request

Tracks and resolves discrepancies

Follows-up on unpaid insurance claims after denial to obtain settlement of claim

Audit insurance and patient accounts to determine whether a refund is needed

Promptly and courteously responds to all inquiries received from payors and patients either by telephone or written request

Provides clear communication and customer service on collection issues to external customers and internal business partners

Helps patients develop patient payment plans

Identifies patterns and trends that indicate a potential issue

Adheres to all policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service

Performs other duties that may be necessary or in the best interest of the organization

Submits billing data to insurance providers

Participates in continuing educational activities relative to assigned duties and responsibilities

Qualification

Medical Office ExperienceComputer ProficiencyProblem-Solving SkillsOrganizational SkillsInterpersonal SkillsCommunication SkillsTime Management

Required

High school diploma or GED required

Computer proficiency and experience in windows-based technologies

Ability to be discrete and security confidential and sensitive information

Excellent problem-solving skills, attention to detail, management of multiple tasks and the ability to do so independently

Ability to handle difficult situations with a positive attitude

Good interpersonal, oral and written communication skills

Strong organizational and time management skills

Ability to adhere to deadlines timely

Must be able to work as part of a team with peers and leadership within the organization

Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situations

Preferred

Prior Work Experience In a Medical Office Setting Preferred

Benefits

Medical, dental, vision, STD, LTD insurances

Generous PTO

401(k) Employer Matching

Life insurances

Parental Perks

And more!

Company

Confluent Health

Confluent Health is a holding company that focuses on creating a healthcare system that recognizes physical and occupational therapy.

Founded in 2014

Louisville, Kentucky, USA

5001-10000 employees

https://goconfluent.com/

H1B Sponsorship

Confluent Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (7)

2024 (5)

2023 (3)