PFS Collection Specialist

PFS Collection Specialist

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Responsible for collecting commercial, government, and patient balances by following the approved processes, policies and procedures set by the revenue cycle department.

This is a remote position. Working CST / EST.

$18-$21 per hour.

• Monitors outstanding account balances to determine the next step in the collection process.
• Follows up on claims and claim denials to ensure maximum reimbursement for services provided.
• Reviews accounts receivable activities and calls on outstanding balances or claims.
• Generates appropriate paperwork, including insurance claim forms (original and re‑filed) and collection letters.
• Reviews insurance payments (Explanation of Benefits – EOBs) to determine whether reimbursement is accurate. Navigates portals to send claims for adjudication.
• Investigates and appeals denied or underpaid claims.
• Responds to all inquiries received from patients and payors either by telephone or written request.
• Tracks and resolves discrepancies.
• Follows up on unpaid insurance claims after denial to obtain settlement of claim.
• Audit insurance and patient accounts to determine whether a refund is needed.
• Promptly and courteously responds to all inquiries received from payors and patients either by telephone or written request.
• Provides clear communication and customer service on collection issues to external customers and internal business partners.
• Helps patients develop patient payment plans.
• Identifies patterns and trends that indicate a potential issue.
• Adheres to all policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.
• Performs other duties that may be necessary or in the best interest of the organization.
• Submits billing data to insurance providers.
• Participates in continuing educational activities relative to assigned duties and responsibilities.

• High school diploma or GED required.
• Computer proficiency and experience in windows‑based technologies.
• Ability to be discrete and maintain security confidentiality and sensitive information.
• Prior work experience in a medical office setting preferred.
• Excellent problem‑solving skills, attention to detail, management of multiple tasks and the ability to do so independently.
• Ability to handle difficult situations with a positive attitude.
• Good interpersonal, oral and written communication skills.
• Strong organizational and time management skills.
• Ability to adhere to deadlines timely.
• Must be able to work as part of a team with peers and leadership within the organization.
• Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situations.

• Competitive salary; employee-centric work culture from the top, down!
• Medical, dental, vision, STD, LTD insurances.
• Generous PTO.
• 401(k) employer matching.
• Life insurances.
• Parental perks.
• And more!