INSURANCE MANAGEMENT

A SYSTEMATIC APPROACH

Health insurance, both commercial and governmental, come in many forms. PFS Group offers experienced management and staff who specialize in insurance resolution.

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.

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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.

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 $2,500 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

Let us analyze your ATB report* to show how you can yield a positive financial impact in your organization.

*We guarantee that your data will remain confidential