Patient Financial Services Representative at Plumas District Hospital
Morgantown, West Virginia, United States -
Full Time


Start Date

Immediate

Expiry Date

27 May, 26

Salary

25.31

Posted On

26 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Managed Care Contracts, Stress Management, Basic Mathematical Skills, Computer Data Entry, Ten Key/Calculator Proficiency, Customer Services, Reading Skills, Writing Skills, Minimal Supervision Work, Insurance Payer Requirements, Denial Management, Electronic Billing, Accounts Receivable Follow-up, Financial Class Changes

Industry

Hospitals and Health Care

Description
Nature and Scope The Patient Financial Services (PFS) Representative is responsible for the accurate and timely submission of billing claims. Also responsible for the timely follow-up of unpaid inpatient, outpatient and clinic claims. Provides appropriate medical documentation to the insurance carrier and pulls primary Explanation of Benefits for secondary insurance carrier billing. Location We are located at 1065 Bucks Lake Road, Quincy, CA 95971. Compensation Compensation Philosophy: We have 6 pay increments on our clinical pay scales to compensate successful candidate for 6 years of relevant experience Compensation Range: $19.83- $25.31/ hour Job Status / Shift Information Full-time, benefited Remote work option available Qualifications Experience: Experience with managed care contracts. Ability to calmly deal with stressful situations. Knowledge/Skills/Abilities Basic mathematical skills. Computer data entry experience and 10 key/calculator. Excellent customer services skills. Good reading and writing skills. Must be able to work with minimal supervision. Responsibilities Familiar with all requirements and attachments for insurance payers within assigned workloads. Works insurance denials daily. Electronically bills ALL new charges daily. Works unpaid insurance pending accounts that are 90 days and older starting with largest unpaid balances working down to the smaller, less financially impacting accounts. Changes financial class immediately to secondary insurance or self-pay when it is determined that the primary insurance has paid their portion in full. Benefits / Perks Options offered to benefit eligible employees: Excellent Medical, Pharmacy, Dental, and Vision Plans Paid days for continuing education, bereavement, and jury duty Retirement Plans with 3% company contribution Voluntary Life Insurance and Long Term Disability Considerable Paid Time Off And more! PDH Benefits to review more details on current options available Perks all employees can enjoy: Inclusive and connected work environment Competitive Compensation Discounted memberships with Flight/American Medical Care Network Shift differentials paid for certain work shifts, including Holiday pay Child Care: PDH is thrilled to provide our Child Care Center services to all families in our area. Our program is operational from 7:45am to 5:15pm, Monday through Friday, and is approved for children aged 0 to 5 years. After submitting your application, our Child Care Director will get in touch with you about your acceptance into the program. Once approved, we will start the enrollment process. PDH employees take priority on our waiting list. For any additional questions please contact our Child Care Center Director at 530-283-7165 or childcare@pdh.org Why Plumas District Hospital Work in a setting with rugged canyons, crystal clear lakes, grassy meadows, trout-filled streams, fresh pine forests, and brilliant star-filled skies. This is your chance to provide compassionate care with exceptional customer service at Plumas District Hospital. With a diverse population with people from all walks of life, PDH team members provide the residents of Quincy and the surrounding area with essential health care services that are vital to this small mountain community. PDH is located in Quincy, California which is the largest community in Plumas County and has a population of 5,000 residents. Quincy is nestled against the Western slope of the Sierra Nevada mountain range and tucked in at the edge of the lush American Valley. Chico, California is 80 miles west and Reno, Nevada is 80 miles east of Quincy. Join a medical team that puts community first. Click this link https://www.pdh.org/ to learn more about PDH providers, services, and surrounding community today! Contact Information Recruiter Name/Email: Nicholas Clawson Department Phone: 530-283-7169
Responsibilities
The Patient Financial Services Representative is tasked with the accurate and timely submission of billing claims and the follow-up of all unpaid inpatient, outpatient, and clinic claims. This role also involves providing necessary medical documentation to insurance carriers and pulling Explanation of Benefits for secondary billing.
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