PFS Specialist I

Iberia Medical Center • New Iberia, LA

2d

About The Position

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. IBERIA MEDICAL CENTER is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

Requirements

• High school graduate or equivalent.
• 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.

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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees