PFS Specialist PRN-Patient Financial Services
Baton Rouge General Medical Center · Baton Rouge, LA · 2 mo ago
FinanceOther
Job Summary
Become a PFS Specialist – Support Financial Excellence and Patient Care!
Why You'll Love Working With Us
- A comprehensive benefits program for you and your family.
- Professional development and support.
- Variety of employee perks including 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.
Essential Job Functions
- Perform status checks on claims submitted to payers with no response after 45 days, including checking payer websites, contacting payers by phone, and documenting actions.
- Process hard copy claims for payment, obtain EOBs for coordination of coverage, review claims for guidelines, and refer issues to management.
- Maintain practice responses to communications, create/respond to RAI or spreadsheets, monitor responses, and escalate issues.
- Handle special projects, resolve “unable to bill” claims, investigate reports, and monitor denials.
- Perform all other duties as assigned.
Additional Requirements
- Maintains knowledge of and adherence to all applicable HIPAA regulations and safety practices appropriate to the job position.