PFS Insurance Follow-Up Representative

A company is looking for a PFS Insurance Follow-Up Representative (Ambulatory Denials).

Key Responsibilities

Follow up with payers on various denials, ensuring accurate and timely processing of payments and adjustments

Research and reconcile account balances, denials, and payments, making appeals and corrections as necessary

Provide customer service to patients and internal clients, resolving billing and payment issues effectively

Required Qualifications

High school diploma / GED or equivalent working knowledge

Minimum of 1 year experience in Medical Insurance Accounts Receivable and / or Physician Fee for Service Billing

Minimum of 1 year experience writing appeal letters for payer denials

Intermediate to Advanced skill level in Microsoft Excel

Strong knowledge of common office software, including word processing, spreadsheet, and database software