Banner Health · 1 day ago
PFS Representative CBO Billing Follow-up Denials Mgt
United States
Full-time
Remote
Entry Level
$18.02/hr - $27.03/hr
1+ years expBanner Health is a nationally-recognized healthcare leader that values innovation and excellence in the workplace. The PFS Representative plays a crucial role in the revenue cycle by coordinating patient billing and collection activities, ensuring timely reimbursement for services while providing excellent customer service.
Health CareInsuranceNon Profit
Responsibilities
May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing
As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement
May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary
Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients
Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers
Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances
Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately
Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manager. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members
Qualification
Required
1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume)
Experience with submitting appeals and understanding of EOB
General knowledge of codes used for claim processing
High school diploma/GED or equivalent working knowledge
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently
Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences
Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required
Preferred
Work experience with the Company's systems and processes is preferred
Previous cash collections experience is preferred
Additional Related Education And/or Experience Preferred
Company
Banner Health
Banner Health operates as a nonprofit health care system in the United States. The company offers hospital care, home care, hospice care,
10001+ employees
H1B Sponsorship
Banner 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 (85)
2024 (70)
2023 (35)
2022 (47)
2021 (51)
2020 (29)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Diane and Bruce Halle Foundation
2025-10-24Grant
Leadership Team
Andy Kramer Petersen
President & CEO Banner Health Foundation
Brian P. Kellar
Chief Executive Officer
Recent News
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