PFS Specialist

Where compassion meets innovation and technology and our employees are family.

GENERAL PURPOSE OF JOB

This position reports to the Patient Financial Services Supervisor. The Patient Financial Services Specialist is responsible for the support functions necessary to accomplishing the objective of the department. These include, but are not limited to, functions under the categories of patient accounting, insurance and patient follow up, variance reconciliation, coordination of benefits, reimbursement verification, and appealing denials.

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. 
• Proven track record in managing and improving accounts receivable.
• Ability to apply “common sense” approach to problem solving.
• Demonstrated multi-task orientation.
• Demonstrated ability to interpret and apply complex governmental regulations in regards to Medicare and Medicaid to the revenue cycle.
• Work directly with patient families to resolve billing and service issues.

EDUCATION AND/OR EXPERIENCE

• High school diploma or general education degree (GED).
• One year certificate from college or technical school; or six months minimum related experience and/or training; or equivalent combination of education and experience.
• Experience working with Epic software preferred.
• Ability to spell medical terminology accurately.
• Prior experience working in a medical billing office preferred.