PFS Specialist

2 days ago:
Be among the first 25 applicants. 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 have 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 ensures that designated claims for all Commercial, Workman Comp, Medicaid Secondary or Medicare insurance claims are filed to the insurance company and collected 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.

• Full-Time

• Workers Supervised:
  None
• Supervised By: PFS Assistant Manager

• 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.

• 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 time frames, 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.