Patient Financial Services Representative

Plumas District Hospital•Morgantown, WV

20h•Remote

About The Position

The Patient Financial Services (PFS) Representative is responsible for the accurate and timely submission of billing claims. This role also involves the timely follow-up of unpaid inpatient, outpatient, and clinic claims. The representative provides appropriate medical documentation to the insurance carrier and retrieves primary Explanation of Benefits for secondary insurance carrier billing.

Requirements

Experience with managed care contracts.
Ability to calmly deal with stressful situations.
Basic mathematical skills.
Computer data entry experience and 10 key/calculator.
Excellent customer services skills.
Good reading and writing skills.
Must be able to work with minimal supervision

Nice To Haves

Two years’ experience in a health care environment.
Previous medical insurance billing experience.

Responsibilities

Familiar with all requirements and attachments for insurance payers within assigned workloads.
Works insurance denials daily.
Electronically bills ALL new charges daily.
Works unpaid insurance pending accounts that are 90 days and older starting with largest unpaid balances working down to the smaller, less financially impacting accounts.
Changes financial class immediately to secondary insurance or self-pay when it is determined that the primary insurance has paid their portion in full.

Benefits

Excellent Medical, Pharmacy, Dental, and Vision Plans
Paid days for continuing education, bereavement, and jury duty
Retirement Plans with 3% company contribution
Voluntary Life Insurance and Long Term Disability
Considerable Paid Time Off
Inclusive and connected work environment
Competitive Compensation
Discounted memberships with Flight/American Medical Care Network
Shift differentials paid for certain work shifts, including Holiday pay
PDH is thrilled to provide our Child Care Center services to all families in our area. Our program is operational from 7:45am to 5:15pm, Monday through Friday, and is approved for children aged 0 to 5 years. After submitting your application, our Child Care Director will get in touch with you about your acceptance into the program. Once approved, we will start the enrollment process. PDH employees take priority on our waiting list.