Job Closed
This listing is no longer active.
Making health care easier, so life can be better.
PFS Representative CBO Billing Follow-up Denials Mgt
Location
United States
Posted
108 days ago
Salary
$18 - $27 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
PFS Representative CBO Billing Follow-up Denials Mgt
Banner Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. - May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. - As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. - May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. - Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. - Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. - Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. - Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. - Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manager. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. Qualifications - 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume) - Experience with submitting appeals and understanding of EOB - General knowledge of codes used for claim processing - High school diploma/GED or equivalent working knowledge - Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience - Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences - Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required Requirements - Ability to manage multiple tasks simultaneously with minimal supervision and to work independently Company Description Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. - Opportunity to apply unique experience and expertise in support of a nationally-recognized healthcare leader - Stimulating and rewarding careers in a wide array of disciplines
Job Requirements
- 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume)
- Experience with submitting appeals and understanding of EOB
- General knowledge of codes used for claim processing
- High school diploma/GED or equivalent working knowledge
- Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience
- Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences
- Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required
- Ability to manage multiple tasks simultaneously with minimal supervision and to work independently
Related Guides
Related Categories
Related Job Pages
More Insurance Jobs
Insurance Examiner 1
State of IowaThe State of Iowa, otherwise known as the "Hawkeye State," was the 29th territory inducted into the United States in 1846. Located in the American Midwest, also
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves working as an Insurance Examiner 1 in the Product and Producer Licensing Bureau of the Iowa Insurance Division. - Perform market conduct examinations and data analysis related to various entities. - Examine all property and casualty insurance policy forms filed for use in Iowa as required by Iowa code section 515.102. - Prepare and submit objections to filings containing objectionable language and/or language that is contrary to Iowa law. - Examine insurance product filings for insurance rates proposed to ensure applicable lines of business are fair and reasonable. - Participate in and document interviews and discussions with company personnel, licensed entities or individuals, and policyholders. - Confer with insurance company personnel and officials regarding contents of various reports and resolve controversial or disputed issues. - Conduct risk-based insurance market conduct analysis and examinations consistent with NAIC Market Regulation Handbook. Qualifications - Attention to detail. - Excellent organization and communication skills. - Ability to think critically in order to make decisions, which include measuring, calculating, reasoning, analyzing, prioritizing, and synthesizing data. - Ability to document adequate notes of investigation to document work performed. - Proficiency in the use of personal computers, peripheral equipment, and various software packages, including the Microsoft Office Suite and Google platforms. Requirements - Graduation from an accredited four-year college or university with a degree in insurance, accounting, actuarial science, risk management, finance, or business. - A total of four years of education and/or full-time experience, where thirty semester hours of accredited college or university coursework in insurance, accounting, actuarial science, risk management, finance, or business equals one year of full-time experience in insurance industry examination, financial analysis, quality assurance, enterprise risk management, or corporate governance. Benefits - Iowa Public Employees Retirement System (IPERS) - Retirement Investors Club (RIC) - Health, Dental and Vision Insurance - Vacation and Sick Leave - Paid Holidays (9 days/year) - Hybrid Telework opportunities
Auto Field Appraiser - Santa Monica/Beverly Hills/Culver City, CA
KemperA Fortune 500 company formerly known as Unitrin, Kemper is one of the nation’s leading insurers, with over $2.7 billion in annual revenue and $8 billion in as
Location(s) Beverly Hills, California, Culver City, California, Santa Monica, California Details Kemper is one of the nation’s leading specialized insurers. Our success is a direct reflection of the talented and diverse people who make a positive difference in the lives of our customers every day. We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. Kemper’s products and services are making a real difference to our customers, who have unique and evolving needs. By joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises. Position Summary: Kemper is seeking an Auto Field Appraiser to work in the Santa Monica, Beverly Hills and Culver City, CA area. You will investigate, evaluate, and appraise damaged automobiles and settle claims within an authorized dollar limit. As an Auto Field Appraiser, you are entitled to a company vehicle. Position Responsibilities: - Participates in a program of formal and on-the-job training through classroom instruction, observing repair work and keeping abreast of new repair techniques and procedures. - Examines first and third-party vehicle damage in the field, at drive in locations, or at service centers as assigned. Follows the company photograph guidelines to verify the identity of the vehicle and to thoroughly document current condition/damage, prior damage, vehicle options, etc. and prepares accurate written appraisal to determine and verify the extent of vehicular damage. A copy of the appraisal will be provided to the owner and uploaded on the day of the appraisal. All supplements will be completed per company guidelines. - Ensures adherence to claims procedures and guidelines prescribed by the company to produce a high-quality work product. - Negotiates repair prices with repair facilities and secures agreed prices for repairs. Maintains a list of company approved part suppliers and uses these firms whenever possible/applicable to control the cost of repairs and to ensure quality work. May visit repair shops to evaluate physical plant, quality of work and may provide a list of garage or repair facilities to insured if allowed by state law. - Negotiates settlements in a timely manner as assigned. Ensures equitable and fair payment of physical damage losses within authority granted. Obtains all necessary documentation to substantiate the appraisal and/or settlement being offered. Position Qualifications: - High School Diploma required. - 2 - 3 years of field appraiser experience or 3 -5 years of auto repair/body shop experience required. - Strong customer service experience required. - Must have good computer skills. - Must have good planning and organizing skills. - Must have good written and verbal communication skills. Some positions may require specific bilingual skills. - Must have the ability to effectively deal with conflict. - This is a remote position working in the Santa Monica, Beverly Hills and Culver City, CA area. The range for this position is Hiring Range $26.35 to $45.07. When determining candidate offers, we consider experience, skills, education, certifications, and geographic location among other factors. This job is also eligible for our Kemper benefits package (Medical, Dental, Vision, PTO, 401k, etc.) Kemper is proud to be an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, disability status or any other status protected by the laws or regulations in the locations where we operate. We are committed to supporting diversity and equality across our organization and we work diligently to maintain a workplace free from discrimination. Kemper is focused on expanding our Diversity, Equity, and Inclusion efforts to align with our vision, mission, and guiding principles. Kemper does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Kemper and Kemper will not be obligated to pay a placement fee. Kemper will never request personal information, such as your social security number or banking information, via text or email. Additionally, Kemper does not use external messaging applications like WireApp or Skype to communicate with candidates. If you receive such a message, delete it. #LI-MV1 #LI-Remote #Kempercareers
National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers’ evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description Responsible for investigating and confirming the facts of loss for complex automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Mentors junior employees. We are seeking a Bodily Injury Adjuster with at least two years of experience handling attorney-represented claims. The ideal candidate brings a positive, team-oriented attitude. Experience managing fracture-related injuries is preferred but not required. Litigation experience is not necessary. Candidates must reside in an Eastern Time Zone state. Key Responsibilities • Determines subrogation or fraud potential and how to handle for complex cases • Applies advanced understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department • Handles investigation regarding all aspects of complex auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority • For claims involving injuries (if handled), learns how to review, evaluate, and negotiate moderate to complex injury claims • Recognizes and identifies body parts of a vehicle and understanding other potential property damage • Identifies customer needs and works to meet those needs using appropriate customer service skills Experience • 3 or more years of experience (Preferred) Supervisory Responsibilities • This job does not have supervisory duties. #LI-KR1 Compensation Base compensation offered for this role is: Adjuster Cons II: $56,000 - $82,500 Adjuster Sr Cons I: $68,500 - $104,100 And is based on experience and qualifications. Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e. commission, bonus, etc.) if applicable for the role. Joining our team isn’t just a job — it’s an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger – a winning team making a meaningful impact. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company’s policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee’s ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products. Companies & Partners Direct General Auto & Life, Personal Express Insurance, Century-National Insurance, ABC Insurance Agencies, NatGen Preferred, NatGen Premier, Seattle Specialty, National General Lender Services, ARS, RAC Insurance Partners, Mountain Valley Indemnity, New Jersey Skylands, Adirondack Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.
Staff Appraiser
Velox ValuationsJoin us at Velox Valuations and be part of one of the largest teams of expert real estate appraisers in the country. Learn more at VeloxVal.com Interested in building a business with an established brand, innovative technology and a national referral network of clients? Then a local Velox Franchise might be an opportunity for you. Request more information at veloxval.com/franchise ”We Value America”
Role Description Velox Valuations is actively hiring experienced Certified Residential Appraisers to join our dedicated team. At Velox Valuations, you'll provide top-notch residential appraisal services using advanced technology and techniques while enjoying the same freedoms and flexibility you have today. As a part of the Velox Staff Appraiser Team, you'll set your own schedules, choose assignments, and set your production goals. You'll also benefit from one-on-one support and best practice knowledge sharing within our team. Qualifications - Active Certified Residential Appraiser - Embrace and complete modern collaborative valuations - Motivated self-starter with high energy - Efficient time management & results driven - Strong communication skills with attention to detail - Geographic competency in real estate trends - Proficiency in Microsoft Office suite of products - Work schedule flexibility to accommodate client/borrower needs - Ability to complete physical property inspections - No current or pending state disciplinary actions - Successfully meet/exceed monthly minimum production Requirements - Equal Opportunity Employer - Velox Valuations LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. - This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Benefits - Competitive Customized Compensation Plans - Bi-Weekly Pay & Monthly Incentive Plan - Comprehensive Health & Wellness Plans - Client Solicitation Commissions – Continue To Work With Your Current Clients - 401k Wealth Planning & Retirement Options - Generous Paid Time Off - Automobile and Phone Allowance - Expense Reimbursement – MLS, CE & License Fees - E&O and Appraisal Software covered - Supervisor-Trainee Program Company Description Join us at Velox Valuations and be part of one of the largest teams of expert real estate appraisers in the country. Learn more at VeloxVal.com Interested in building a business with an established brand, innovative technology and a national referral network of clients? Then a local Velox Franchise might be an opportunity for you. Request more information at veloxval.com/franchise ”We Value America”


