Wanted: Individuals with extensive experience assisting hospitals and their patients to resolve unprocessed insurance accounts. The candidates should possess excellent communication, organizational and multi-tasking skills and be able to work in a fast-paced environment. Knowledge of HIPAA is also expected. Also, any certifications by HFMA, AAHAM will be recognized and rewarded. If you do not yet possess these credentials, we will help you achieve them through our employer-supported continuing education program.

Responsibilities include:

• Assist patients and their insurance carriers to resolve open account balances.
• Assess each account and take the appropriate actions necessary to obtain complete adjudication of the patients claim.
• Review an average of 70+claims per day.

Skills/Experience required:

• High school diploma/GED
• Medical account resolution experience
• Medical insurance billing experience a plus
• Strong customer service skills
• Ability to work well under pressure and with others
• Outstanding listening, communication and problem-solving skills
• Professional approach and appearance
• 10-key proficient
• Typing of 50 WPM minimum

M/F/H/V/EOE/AA

All candidates will be required to undergo a pre-employment drug screen and a pre-employment national background check.

Wanted: Enthusiastic self-starters with excellent communication, organizational and multi-tasking skills to join a team-oriented, fast-paced environment. With an excellent training program, experience is preferred but not required, so get paid to learn on the job and grow with us!

Opportunities available:

• Inbound Customer Service
• Outbound Customer Service
• Data Entry/Posting

Responsibilities include:

• Communicating with patients to help them resolve their healthcare accounts
• Resolving issues, setting payment expectations, arranging payments and requesting information from patients

Preferable skills/experience:

• Medical collection experience
• Medical insurance billing experience
• Strong customer service experience
• Ability to work well under pressure
• Outstanding listening, communication and problem-solving skills
• Professional appearance
• Bilingual a plus

 

Wanted: This position is responsible for providing patient financial services to the assigned projects via phone, email and/or written communications. Under the direction of the Customer Service Supervisor and Senior Representative, the Representative communicates primarily with Spanish speaking patients and guarantors to resolve the patient accounts assigned to PFSG. This is accomplished by adhering to PFSG standard operating procedures (SOP), as well as guidelines established by the individual client policies. The CSR is responsible for collecting payments, establishing payment plans, offering approved discounts, and facilitating applications for financial aid. This person is responsible for achieving acceptable levels of Average Handle Time (AHT), setting reasonable expectations for the callers and meeting all commitments made to the callers. HIPAA Certification must be maintained and HIPAA compliance must be strictly adhered to. The Representative must maintain an acceptable level of quality with respect to all work efforts.

Requirements:

• Medical customer service, patient account resolution, insurance and/or call center experience
• Professional presentation with clear verbal communication, proper grammar and articulation
• Excellent listening, interpersonal, teamwork, problem-solving and research skills
• Highly-organized with ability to multi-task, work well under pressure with deadlines and work well in a fast-paced environment
• Good computer skills
• Excellent documentation skills
• Demonstrated stable work history
• Excellent documentation skills
• Demonstrated stable work history
• Bilingual

 

Under the supervision of the Insurance Manager, this position is responsible for initiating bad debt calls and answering telephone call inquiries while providing excellent customer service to patients resolving longer term unresolved accounts, assisting them by providing avenues for finalization of their account. It is responsible for researching and resolving questions and account issues to ensure client balances are resolved. Position does require extensive call volume to patients and insurance companies. Spanish speaking is a must.

Requirements

• Medical collections and/or medical call center experience
• Outstanding listening, communication, problem-solving and research skills
• Good computer skills
• Strong customer service experience demonstrating compassion and concern along with some assertiveness skills
• Ability to work well under pressure and multi-task routinely
• Professional presentation/appearance/demeanor
• Demonstrated stable work history
• Bilingual – Spanish
• Knowledge of CUBS

Under the supervision of the High Balance Supervisor, this position provides excellent customer service to patients resolving higher account balances, assisting them by answering their questions and concerns. It is responsible for heavy researching of account balances and resolving questions and account issues to ensure customer retention and satisfaction. Position is responsible for initiating the high balance calls via outbound calls to patients and to insurance companies for resolution of large balance for clients.

Requirements

• Medical collections experience and/or medical insurance billing experience
• Outstanding listening, communication, problem-solving and research skills
• Good computer skills
• Strong customer service experience demonstrating compassion and concern
• Ability to work well under pressure and multi-task routinely
• Professional presentation/appearance/demeanor
• Demonstrated stable work history

The PPA (Payment Plan Arrangement) Data Analyst is responsible to monitor accounts on payment plans for all PFSG clients to ensure that they are free of errors. It is the responsibility of this staff member to create the daily “Pplan Error Report” and distribute it to the Customer Service Team. The PPA Data Analyst is also responsible to set up and combine payment plans for specified clients and to answer questions and provide services for special projects involving payment plan actions.

Requirements

• Data entry experience with excellent data entry skills
• Good working knowledge of the PPA process
• Detail oriented with excellent accuracy in a repetitive environment
• Good organizational skills
• Good verbal and written communications
• Demonstrated stable work history

The Project Manager (PM) is responsible for ensuring that a client’s needs are met as required in the Master Services Agreement with the client and that the internal project goals are achieved. The PM must be able to maintain composure, remain calm, and manage adverse and/or high-stress situations. The PM assists in the supervision of Project Coordinators (PC) and Liaisons.

ESSENTIAL FUNCTIONS

• Responding and following-up on any client issues immediately and providing communication, resolution, and feedback to the client. Initial response must be within one hour of issue being reported. Resolution may be longer, but client must be kept updated on progress.
• Implement and monitor service lines to improve the accounts receivable performance for our clients and report the achievements
• Responsible for communicating to the Executive Team any client-related concern or potential issue before it reaches crisis mode
• Assisting the VP or Director of Project Management in developing a plan of action for client-related concerns and potential threats to minimize escalated issues.
• Preparing Month End Executive Overview Reports for clients and communicating results to the client. Month-End Reports are due to the client by the 5th working day or 2 days after internal distribution.
• Approving and ensuring accuracy of monthly/bi-monthly client invoices. Invoices must be approved for delivery on the 1st day of the month OR the date designated by the Executive Team.
• Approving and ensuring accuracy of weekly bad debt offloads.
• Maintaining and communicating issues and successes on the Customer Service Log.
• Proactively identify and communicating trends to the client and internally to PFS Group teams.
• Proactively identify and document achievements of the projects and report them to the internal teams at PFS Group and the client
• Preparing Client Issue summaries to be sent to internal leadership weekly. These reports are due each Friday between NOON and 4PM CST.
• Project Comparative Reports completed monthly by the 5th working day or 2 days after internal distribution.
• Facilitating monthly/bi-weekly Operational Meetings with clients.
• Facilitating monthly/bi-weekly Workgroup meetings with internal staff.
• Supervising Project Coordinators and Onsite Liaisons, including support, motivation and evaluating performance.
• Communicating client specific information to the Operations Team.
• Completing daily project quality assurance functions including the Daily Operations Report, the Status Code Aging, the Statement Check Report and Tickler QA.
• Arrive at work timely with good regular attendance in order to meet needs of coworkers, customers and clients.
• Other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

• Excellent verbal and written communication skills
• Proficient in Microsoft Office applications (Word, Excel, Outlook, PowerPoint)
• Strong mathematical and analytical skills
• Strong organizational skills
• Strong attention to detail
• Customer service principles and practices
• Confidentiality a must

PERFORMANCE STANDARDS

• ATB inventory over 120 days from assignment less than 3%
• Meeting monthly collections goals as determined by the Executive Team
• Meeting status code aging standards

EDUCATION AND EXPERIENCE

• At least four years in the hospital revenue cycle industry
• Stable job history

PREFERENCES

• At least two years’ management experience
• Bachelor’s Degree strongly preferred
• CRCE, CRCP or CRCS strongly preferred (CRCS must be acquired upon hire)
• Non-smoker