PFS Medical Billing Specialist I

The PFS Medical Billing Specialists general responsibilities include but are not limited to: 

• Accurately billing claims
• Ensuring timely filing deadlines are met for various payers 
• Adequately billing claims per compliance and payer guidelines 
• Collaborate with various areas of revenue cycle and the organization to ensure accurate and timely billing of claims 
• Stay current on compliance and payer policies and share information with other caregivers within the organization

Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time.

Job Duties

• Works daily electronic billing file and submits insurance claims timely according to payer guidelines
• Collaborates within team and with external departments to resolve claim errors.
• Acquires and maintains a general understanding of regulations affecting billing practices and reports any suspected compliance issues
• Conducts duties in a professional and timely manner
• Performs all other duties as assigned by departmental leaders

Education

• H.S. Diploma - Required
• Associate's Degree - Preferred

Work Experience

• 1 Year - non-clinical healthcare experience, preferably in revenue cycle - Preferred

Licenses and Certifications

Skills and Abilities

Essential Technical/Motor Skills

• Basic Microsoft application skills required
• Excellent oral and written communication skills
• Excellent organization and time management skills, and ability to establish priorities effectively
• Dependable in both production and attendance
• Communicates clearly with professional etiquette while using electronic fax, computer, email, Zoom, and telephone
• Research and review payer policies, guidelines, and compliance guidelines
• Creative problem-solving skills
• Medical Terminology knowledge 
• Escalate issues appropriately to leadership
• Ability to work independently and multi-task as needed
• Interacts virtually with team to stay connected and informed
• Communicate effectively in a professional manner to everyone with whom you may interact no matter the diverse background and able to work both independently and as a team to achieve department and organizational goals while promoting a positive group environment

Interpersonal Skills

• Communicate effectively in a professional manner to everyone with whom you may interact no matter the diverse background and able to work both independently and as a team to achieve department and organizational goals while promoting a positive group environment.

Essential Physical Skills

• Ability to operate equipment on continuous/repetitious basis such as computer, telephone, fax, etc..
• Job requires sitting mostly, walking and standing occasionally.

Essential Mental Abilities

• Ability to analyze and interpret data, explain issues thoroughly, be adaptable in daily responsibilities and flexible based on department and organizational needs, comprehend written and spoken instructions with the ability to retain the information, must be able to organize data and have time management skills and contain the ability to collaborate to resolve any potential billing issues.

Essential Sensory Requirements

• Hearing, speaking, and visual skills.

Exposure to Hazards

• Limited exposure.

Other Skills and Abilities