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Pfs Rep Jobs (NOW HIRING)

PFS Group

Insurance Appeals Rep

Houston, TX · On-site

At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization. * At least 2 years of hospital insurance follow-up or denials ...

PFS Group

Insurance Appeals Rep

Houston, TX · On-site

At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization. * At least 2 years of hospital insurance follow-up or denials ...

PFS Group

Customer Service Representative

Houston, TX

$14 - $19.25/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

PFS Group

Customer Service Representative

Uvalde, TX · On-site

$15 - $20.50/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

PFS Group

Customer Service Representative

Uvalde, TX · On-site

$13/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

PFS Group

Customer Service Representative

Uvalde, TX

$13/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

PFS Group

Customer Service Representative

Houston, TX · On-site

$15.25 - $20.75/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

PFS Group

Customer Service Representative

Houston, TX · On-site

$14 - $19.25/hr

At PFS Group, one of the nation's fastest-growing patient financial services companies, we help ... As a Customer Service Representative (CSR), you will play a key role in our call center by ...

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PFS Rep information

See salary details

$14

$18

$24

How much do pfs rep jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for pfs rep in the United States is $18.36, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $18.03 per hour, depending on experience, location, and employer.

What is a PFS rep?

PFS Reps, or Patient Financial Services Representatives, are professionals who handle the financial aspects of a patient's healthcare experience. They assist patients with billing inquiries, insurance claims, payment plans, and help ensure that medical bills are processed correctly. PFS Reps act as a liaison between patients, healthcare providers, and insurance companies to resolve any financial issues related to medical services. Their goal is to provide clear information and support to patients regarding their financial responsibilities and options.

What are the key skills and qualifications needed to thrive as a PFS rep?

To thrive as a PFS Representative, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, usually supported by a high school diploma or associate degree. Familiarity with billing software such as Epic, Cerner, or Meditech, as well as knowledge of ICD-10 and CPT coding systems, is typically required. Strong attention to detail, problem-solving abilities, and effective communication skills help you resolve patient inquiries and collaborate with healthcare teams. These skills ensure accurate financial processing, prompt reimbursement, and high levels of patient satisfaction in medical settings.

What are some common challenges faced by PFS reps and how can they be managed?

Patient Financial Services (PFS) Representatives often encounter challenges such as handling complex insurance claims, addressing billing discrepancies, and communicating sensitive financial information to patients. Managing these challenges requires strong attention to detail, up-to-date knowledge of insurance policies, and excellent customer service skills. Building rapport with patients and collaborating closely with clinical and administrative staff can help resolve issues efficiently and ensure a positive patient experience.

What is the difference between Pfs Rep vs Insurance Sales Agent?

AspectPfs RepInsurance Sales Agent
Required CertificationsLicenses in financial products, securities, or investment advisingState insurance license for selling insurance policies
Work EnvironmentFinancial institutions, investment firms, or insurance companiesInsurance agencies, brokerages, or independent
Industry UsageFinancial services, investment advising, insuranceInsurance sales and policy advising

While both roles involve client interaction and financial product knowledge, Pfs Reps focus on investment and financial planning, often requiring securities licenses, whereas Insurance Sales Agents primarily sell insurance policies and need specific state insurance licenses. The roles overlap in client consultation but differ in product specialization and licensing requirements.

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What job categories do people searching Pfs Rep jobs look for?

The top searched job categories for Pfs Rep jobs are:

PFS Rep jobs near you
Infographic showing various Pfs Rep job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $38,182 per year, or $18.4 per hour.

Insurance Appeals Rep

PFS Group

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 5 days ago

Job description

JOB SUMMARY

Under the supervision of the Insurance Supervisor, the Insurance Appeals Representative will work high dollar or complex denials for hospital insurance claims. The Appeals Representative will be responsible for reviewing basic clinical documentation and relevant payer guidelines to draft timely and effective appeals. They will be measured on appeals success and denials overturn rate, working to improve cash collections on behalf of their client(s). The Appeals Representative may directly write appeals or act as a consultant for other Insurance Reps, assisting them with referencing clinical or payer guidelines. They may be expected to share payer updates with Insurance teams or provide occasional information sessions to department trainer or representatives. They will prioritize work based on feedback from their leadership in order to best impact performance metrics.

ESSENTIAL FUNCTIONS

  1. Demonstrate extensive knowledge of insurance follow-up and denials.
  2. Act as the subject matter expert for appeals on their team.
  3. Triage and determine denial reasons from remittance advice, explanation of benefits, payer portals, or other avenues of information.
  4. Research pertinent payer medical policy bulletins and billing guidelines, creating a repository of reference materials for themselves and other team members.
  5. Prioritize work effort by viability and amount of payment to maximize cash.
  6. Track payer issues and escalations to provide relevant trending information to leadership.
  7. Follow appeals to resolution to assess effectiveness.
  8. Create job aids and share information on appeals language as needed.
  9. Practice compliant billing and follow-up strategies for all government and managed care payers.
  10. Meet minimum of 10 appeals per day, as well as any follow-up needed on existing appeals.
  11. Aggressively seek to resolve unpaid balances.
  12. Document all efforts accurately and thoroughly.
  13. Follow all workflow protocols.
  14. Work other insurance inventory as assigned or as volume demands.

KNOWLEDGE, SKILLS, AND ABILITIES

  1. Outstanding research and follow-up skills.
  2. Deep knowledge of denial types and causes.
  3. Ability to research commercial, managed care, and government payer guidelines and reference language in all appeals.
  4. Ability to read and interpret remittance advice/explanation of benefits.
  5. Strong written and verbal communication skills, especially when drafting appeals or creating workflow templates for teammates.
  6. Self-motivation and ability to work autonomously.
  7. Basic analytics, to include Microsoft Excel.

EDUCATION AND EXPERIENCE

  1. At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization.
  2. At least 2 years of hospital insurance follow-up or denials experience.
  3. Epic experience, with strong preference toward HB, required.

Preferences 

  1. CUBS experience

PFS Group

Nationwide Patient Account Management Firm.

Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments.

PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon!

If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

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