- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** The Supervisor of Denials- PFS is responsible for reviewing all denial material and ... includes but is not limited to PAS staff, Utilization Management, MDs, PFS staff, IS Billing and contracts department for future negotiations. **Knowledge, Skills,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the direction of the Supervisor Professional Billing & Coding follows Federal State & local regulatory collection guidelines as well as payor ... specific billing/ collection guidelines. Responsible for the collection of outstanding balances from all Commercial HMO PPO Medi-Cal & Managed Care payors… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Billing & Collections Rep II-Refunds The overall objective is to process credit balances on accounts. The incumbent will assume responsibility for ... incumbent is responsible for submitting adjustment and/or refund request to Supervisor for approval. Appropriate documentation to support the request must be… more
- Tidelands Health (Pawleys Island, SC)
- …Experience with the following: + Direct management of vendors within a results-oriented PFS department with particular emphasis on collections and billing, both ... better lives through better health!** **Position Summary** **:** Under the general supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager… more
- Kaleida Health (Buffalo, NY)
- …KH Patient Financial Services **Job Description:** Under the direction of the Supervisor , Manager, and Director of Patient Financial Services, this position is ... the facility. This position performs daily activities including cash collection , disbursement, deposit preparation, balancing, posting, calculating employee discounts,… more
- Trinity Health (Farmington Hills, MI)
- …variances from expected reimbursement, and resolving or escalating issues to the Supervisor Payment Resolution for resolution. This position reports directly to the ... Supervisor Payment Resolution. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and...claim resolution and the appropriateness of transferring account to collection vendor(s) or other resources for follow-up. + Documents… more
- Trinity Health (Des Moines, IA)
- …problems, issues and general inquiries. This position reports to the Supervisor PFS Customer Service. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, ... Performs customer service activities handling various self-pay and insurance billing and collection inquiries, requests and related functions as part of the revenue… more
- CommonSpirit Health (Phoenix, AZ)
- …hospitals and out in the community. **Responsibilities** Oversees daily operations of PFS Collections , Ensures efficient and effective department operations by ... of Patient Financial Services. + Establishes and maintains systems that ensure collection processes are handled in a timely, effective and efficient manner. +… more
- Kaleida Health (Buffalo, NY)
- …Rec Biller Collections **Union Code:** 28 - SEIU 1199 Kaleida PFS BusOfcCl **Bi-Weekly Hours:** 75 **Weekend/ Holiday Requirement:** No Weekends or Holidays ... Financial Services **Job Description:** Under the direction of the assigned Supervisor or Manager of Patient Financial Services, perform activities including billing… more
- University of Rochester (Rochester, NY)
- … PFS Support** + Acts as a point person for questions from assigned PFS collection and billing staff on payer policies, procedures and methods of revenue ... of peers and lesser-grade staff, as directed by the Supervisor . Independent judgment is necessary in escalating collection... collection . + Trains new PFS staff on… more
- University of Rochester (Rochester, NY)
- …insurance accounts which have not been collected through routine billing and collection activities. Claim Resolution Rep III will make independent decisions as to ... bringing concerns to the attention of billing Manager and Supervisor . The Claim Resolution Rep III will represent the...include understanding of policies and procedures related to insurance collection and follow up. + Bills primary and secondary… more
- University of Rochester (Rochester, NY)
- …of the billing period through the accurate resolution of the account. Revenue collection activities focus on an assigned payer billed at the primary level. ... aged insurance accounts which have not been collected through routine billing and collection activities, ensuring the visit balances are set up on the accounts… more
- Tidelands Health (Murrells Inlet, SC)
- …point of contact for CDI and other team members when the supervisor /manager is not available. **Position Responsibilities & Functions** + Assigns and sequences ... guidelines for reimbursement, statistical purposes, core measure reviews, and data collection . + Reviews all documentation from Qualified Medical Providers (QMPs) to… more
- Sonora Quest (Phoenix, AZ)
- **Primary City/State:** Phoenix, Arizona **Department Name:** PFS Cash Applications **Work Shift:** Day **Job Category:** Revenue Cycle **_Find your Voice, Passion, ... or explanation of payment. 3. Maintain and reconcile daily spreadsheet of refunds, collections , and A/R postings. Distribute daily summary report of refunds to … more
- UNC Health Care (Goldsboro, NC)
- …is correct. 11. Completes registration-related Work Queue assignments provided by supervisor . 12. Completes basic screening for Medicaid eligibility and financial ... 13. Abides by the Wayne UNC - Financial Clearance Collections Policy. 14. Satisfies goals pertaining to productivity and...18. Complete Productivity Tracker Weekly and email them to PFS Leadership 19. Review/Sign/Commit to the Patient Access Work… more