What are the responsibilities and job description for the PFS Specialist II 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 hiring a Patient Financial Services (PFS) Support II position, Full-Time . In this role the candidate is responsible for resolving all unpaid claims including but not limited
to Commercial Insurance, Medicare, Medicare Replacement, Workman’s Comp,
Hospice, VA, or Medicaid claims assigned by the PFS Assistant Manager. Provides back-up coverage to the Commercial,
Medicare and Medicaid Billers for billing or follow-up and to the Credit
Balance Clerk as needed.
EDUCATION
High School Graduate or equivalent
TRAINING/EXPERIENCE
2-3 years previous hospital business office
experience related to the filing and collection of Commercial and Medicaid
claims.
WORK HOURS
8:00 am to 4:30 pm, Monday through Friday
PRINCIPLE TASKS, DUTIES, AND RESPONSIBILITIES
Resolves
all assigned unpaid including but not limited to Commercial, Medicare, Medicare
Replacement, Workman’s Comp, VA, Hospice, or Medicaid claims on the Monthly ATB
reports and otherwise ensures that all these accounts are paid in a timely
manner. Provides back-up coverage to the
Commercial, Medicare and Medicaid Billers for billing or follow-up as needed. Provides back-up coverage to the Credit
Balance Clerk as needed. Ensure that all unresolved issues for
accounts on the Medicare, Medicaid and/or Commercial remittance advices are
resolved on a weekly basis. Ensures
that any assigned denials, requests for refiles, etc., that are received from
insurance companies are followed-up on within 3-5 business days. Edits
and otherwise prepares all Medicaid Claims to be filed on a daily basis;
ensures that the transmission of claims is completed and received by Medicaid Assist
with completion of the Medicare Credit Balance quarterly report Initial
billing of all claims generated within the inpatient and outpatient Behavioral
Health facility Assist with Contract Management underpayment
appeals 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!
Employment Type:
FULL_TIME