PFS Specialist II - Patient Financial Services
Baton Rouge General Medical Center · Baton Rouge, LA · 2 wk ago
AccountingOther
What We're Looking For
- Detail-oriented with strong organizational and investigative skills
- Self-motivated and proactive with a customer-first mindset
- Prior experience in all phases of business office operations and insurance collections
- High School Diploma or GED preferred
- Excellent understanding and knowledge of Commercial Insurance
- Familiarity with HIPAA regulations related to medical records and financial data
- Knowledge of safety practices relevant to billing and administrative roles
Why You'll Love Working With Us
- A comprehensive benefits program for you and your family
- Professional development and support
- Variety of employee perks include generous paid time off, flexible positions, and our Baton Rouge General Fit! program
- We are a nationally and locally recognized leader in quality and ranked one of the best healthcare employers in the state
What You Will Do
- Analyze and follow up on outstanding account balances and establish acceptable payment arrangements to ensure timely and accurate reimbursement
- Process claims populating into Ambulatory Claims Manager (ACM), resolving invalid/rejected claims within 5 days, documenting status, and referring issues to management
- Process hard copy claims for payment
- Attach EOBs for secondary/tertiary claims
- Maintain practice responses to communications
- Create and respond to spreadsheets
- Monitor for missing responses and escalate as needed
- Resolve “unable to bill” claims by verifying insurance information
- Investigate reports and monitor denial trends provided by management
- Perform other duties as assigned
What Sets BRG Apart
- At Baton Rouge General, we are a community of compassionate, caring individuals who set the bar when it comes to healthcare excellence
- Our mission is to preserve and restore health, one person at a time
- From clinical to non-clinical – what you do here matters
- With over 600 licensed beds between three campuses, Baton Rouge General offers the full spectrum of care from delivering newborns to providing end of life support through hospice
- With clinics located throughout Baton Rouge and the surrounding areas, our physician group provides patients with comprehensive care and a full suite of specialties, including internal and family medicine and specialty care