ENSURING FLEXIBILITY
Our experienced third party payer representatives use a systematic approach to manage each claim, identify problem accounts, and obtain any information needed for processing to ensure every claim is accurately paid.
FOCUSED PRECISION
PFS Group’s processes are designed to focus on increasing cash flow, lowering adjustments, reducing the number of days in accounts receivable, and decreased denials.
Conversation with Kristen, our Insurance Supervisor
PFS Group offers experienced management and staff who specialize in commercial and governmental insurance resolution.
1. What is the biggest value proposition of our insurance department?
Our goal in the insurance department is to have "One Touch Resolution" on every account. This means resolving the account the first time it is touched. Appropriately utilizing information and resources available to ensure the quality of the account worked will lead to achieving the "One Touch Resolution" we strive for at PFS
2. Why do hospitals want to work with us?
The quality and assertiveness which we show with the insurance companies. Sometimes we receive older inventory which we are able to get resolved and off their A/R. Not always for payment, but a lot of times it does result in a payment that the client didn't have the time or staff to spend on to get resolved.
3. How do you motivate your team for success?
Our teams consist of verification, support function, billing, and claims follow-up/resolution personnel. We have a set list of expectations that focus on quality of work, to be here, and to be nice. We also have ongoing training, both in class and through our online modules, and a very strong support network.
TIMELY BILLING
We work to ensure your organization bills and receives all monies expected and that it is done in a timely manner thereby avoiding missed filing deadlines and appeal deadlines.
KEY BENEFITS OF OUR INSURANCE RESOLUTION PROGRAMS
Increase cash flow:
A systematic approach to manage every claim.
Specialized team:
Government payer-specialized team, including Medi-Cal, Medicaid, or Medicare.
Reduce days in A/R:
Intelligence-driven workflows that produce results.
Ensure flexibility:
Payers change their communication requirements and our team is flexible to meet those demands.
" PFS Group developed a data scrubber capable of using 835 data to expedite processing. Their collections on insurance balances under $10,000 tripled previous results. At the same time, they assisted us with mass identification and processing of adjustments.”
–EVP of Revenue Cycle, Western Health System
SEE HOW MUCH WE CAN INCREASE YOUR CASH
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