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

Wanted: Under the supervision of the Insurance Department Supervisor, ensures the efficient operation and effective reimbursement of traditional Medicare and other government account receivables by researching accounts, refilling or appealing claims, submitting additional medical documentation, and tracking account status by monitoring and analyzing assigned unresolved standard Medicare and other government accounts. This position will initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from government parties and patients. The ability to analyze, audit and reconcile traditional Medicare accounts is critical to this position. Processes in the claims resolution may vary based on clients’ needs and/or contract. In this position you will follow-up on aged accounts receivable to help ensure continuity of cash flow and to help secure resolution of account balances.

Essential Functions:

• Resolve and reconcile traditional Medicare claims through the DDE system.
• Arrive at work timely with good regular attendance in order to meet needs of coworkers, customers and clients
• Other duties as assigned in our team-oriented environment

Knowledge, Skills, And Abilities:

• Extensive knowledge in working traditional Medicare claims through utilization of the Direct Data Entry (DDE) system (example Nordian, Palmetto, Ability, etc.)
• Ability to navigate in the DDE system to reconcile and/or resolve traditional Medicare claims
• Fluent knowledge all federal, state and local legal aspects of collection activities
• Ability to operate a PC and general office equipment
• Ability to work well under pressure and multi-task routinely
• Professional presentation, appearance, and demeanor
• Demonstrated stable work history
• HIPAA knowledge

Education And Experience:

• Demonstrated stable work history
• At least two years’ experience handling traditional Medicare accounts receivables

Preferences:

• Knowledge of Managed Care insurance payers
• Knowledge of commercial insurance payers

Essential Functions:

The Client Support Representative works on-site at one of our clients’ offices and provides administrative support to the team at our corporate headquarters in Houston, Texas. In this role you will be the face of our company, and we expect the highest level of professionalism possible. Duties may include detailed patient account/payment research, certain clerical functions, and meeting with patients that come to the facility for help understand their account(s) better.

A Self-motivated team player, you may be just the person we are looking for. Team Work, Dependability, Motivation and Ethics are an integral part of all positions with PFS Group. Working knowledge of FDCPA, FCRA, HIPAA are helpful but not required.

Knowledge, Skills, And Abilities:

• Experience with MS Word, Excel, Outlook and good keyboarding skills – typing at least 40wpm
• Excellent written, oral, and listening communication skills
• Possess basic mathematical skills
• Ability to apply good judgment in dealing with problem solving and carrying out directives
• Capability to uphold highest level of confidentiality and professionalism
• 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
• Capacity to read, write and comprehend insurance and patient correspondence
• Self-motivated team player

Education And Experience:

• High School diploma or General Education Degree (GED)
• At least one year professional office environment experience, preferably within medical office exposure