PFS Specialist II
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Job Location:
New Iberia, LA - USA
Monthly Salary:
Not Disclosed
Posted on:
03-09-2025
Vacancies:
1 Vacancy
Job Summary
Iberia Medical Center (IMC) in New Iberia LA is looking for team members who will help advance our vision to be the premier hospital of choice for patients physicians and employees. Weve been caring for our community for over 60 years and offer many diverse career paths. Our new employees experience opportunities to learn and grow while caring for their families friends and neighbors.
IMC is currently hiring aPatient Financial Services (PFS) Support IIposition Full-Time. In this role the candidate is responsible for resolvingall unpaid claims including but not limitedto Commercial Insurance Medicare Medicare Replacement Workmans CompHospice VA or Medicaid claims assigned by the PFS Assistant Manager.Provides back-up coverage to the CommercialMedicare and Medicaid Billers for billing or follow-up and to the CreditBalance Clerk as needed.
EDUCATION
- High School Graduate or equivalent
TRAINING/EXPERIENCE
2-3 years previous hospital business officeexperience related to the filing and collection of Commercial and Medicaidclaims.
WORK HOURS
- 8:00 am to 4:30 pm Monday through Friday
PRINCIPLE TASKS DUTIES AND RESPONSIBILITIES
- Resolvesall assigned unpaid including but not limited to Commercial Medicare MedicareReplacement Workmans Comp VA Hospice or Medicaid claims on the Monthly ATBreports and otherwise ensures that all these accounts are paid in a timelymanner.
- Provides back-up coverage to theCommercial Medicare and Medicaid Billers for billing or follow-up as needed.
- Provides back-up coverage to the CreditBalance Clerk as needed.
- Ensure that all unresolved issues foraccounts on the Medicare Medicaid and/or Commercial remittance advices areresolved on a weekly basis.
- Ensuresthat any assigned denials requests for refiles etc. that are received frominsurance companies are followed-up on within 3-5 business days.
- Editsand otherwise prepares all Medicaid Claims to be filed on a daily basis;ensures that the transmission of claims is completed and received by Medicaid
- Assistwith completion of the Medicare Credit Balance quarterly report
- Initialbilling of all claims generated within the inpatient and outpatient BehavioralHealth facility
- Assist with Contract Management underpaymentappeals and research
COMPETITIVE BENEFITS:
Great medical benefit plan
Early access to earned wages
Participation in robust state pension plan
Dental vision life insurance disability and more!
Required Experience:
Unclear Seniority
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Iberia Medical Center (IMC) in New Iberia, LA is looking for team members who will help advance our vision to be the premier hospital of choice for...
