What are the responsibilities and job description for the PFS Specialist I position at Iberia General Hospital And Medical Center?
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. We've 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 looking for a PFS Specialist I , who e nsures that designated claims for all Commercial,
Workman Comp, Medicaid Secondary or Medicare insurance claims are filed to
the insurance company and collected on in a timely and accurate manner. Assists in helping to resolve any patient
requests/issues, as requested. Ensures
that any and all actions taken on account are thoroughly noted in the computer
system. Completes Medicare Credit Balance report timely and correctly on a
quarterly basis if applicable.
SCHEDULE
Full-Time
JOB RELATIONSHIP
WORKERS SUPERVISED: None SUPERVISED BY: PFS Assistant Manager
QUALIFICATIONS:
Education:
High school graduate or equivalent. Licensure/Certification: N/A. Training and Experience: 2-3 years previous hospital business office
experience related to the filing and collection of insurance claims. Must have thorough knowledge of insurance reimbursement
methods.
PRINCIPLE TASKS, DUTIES, AND RESPONSIBILITIES:
Ensures that all designated
Medicaid Secondary, Commercial, Workman Compensation or Medicare insurance claims
are filed to the insurance company in a timely and accurate manner. Ensures that any
denials, request for re-files, etc., that are received from the insurance
company are followed-up on within 3-5 business days. Otherwise ensures that
all monies due from insurance companies are received within acceptable
timeframes, and in accordance with any contractual arrangements that may exist
with payors. Assists in helping to
resolve any patient requests/issues, as requested. Ensures that any and all actions taken on
account are thoroughly noted in the computer system. Completes
Medicare Credit Balance report timely and correctly on a quarterly basis if
applicable.
Employment Type:
FULL_TIME