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Pfs Representative Jobs (NOW HIRING)

PFS Group

Insurance Appeals Rep

Houston, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Crystal City, TX · On-site

$13/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Crystal City, TX · On-site

$13/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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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Showing results 41-60

All JobsPfs Representative Jobs

PFS Representative information

See salary details

$12

$25

$43

How much do pfs representative jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for pfs representative in the United States is $25.23, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $28.85 per hour, depending on experience, location, and employer.

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

To thrive as a PFS Representative, you need a solid understanding of medical billing, insurance processes, and patient account management, typically supported by a high school diploma or equivalent and experience in healthcare finance. Familiarity with billing software, electronic health record (EHR) systems, and payer portals is commonly required. Strong attention to detail, problem-solving abilities, and effective communication skills help you excel in resolving billing issues and interacting with patients and insurers. These skills are vital to ensure accurate claim processing, timely revenue collection, and positive patient experiences.

What are some common challenges PFS Representatives face when handling patient billing inquiries?

PFS Representatives often encounter challenges such as navigating complex insurance policies, addressing billing discrepancies, and explaining charges to patients who may be frustrated or confused. Effectively resolving these issues requires strong communication skills, attention to detail, and the ability to remain calm under pressure. Additionally, staying updated on frequent changes in healthcare regulations and payer requirements is crucial to providing accurate information and ensuring smooth billing processes.

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

AspectPfs RepresentativeInsurance Sales Agent
Required CredentialsLicensing in financial products, certifications like FINRAState insurance license, certifications vary by product
Work EnvironmentFinancial institutions, client offices, call centersInsurance agencies, client homes, online platforms
Employer & IndustryFinancial services, banking, investment firmsInsurance companies, brokerages, agencies
Common Search & ComparisonYesYes

The Pfs Representative and Insurance Sales Agent roles both involve client interaction and licensing requirements. However, Pfs Representatives focus on financial products like investments and retirement plans, while Insurance Sales Agents primarily sell insurance policies. Both roles operate within financial and insurance industries, often requiring similar licenses, but their product focus and work environments differ slightly.

How to become a Pfs Representative?

To become a PFS Representative, candidates typically need a high school diploma or equivalent, strong communication skills, and the ability to work in a team environment. Relevant experience in customer service or sales can be beneficial, and some positions may require training or certification related to the company's products or services.
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What job categories do people searching Pfs Representative jobs look for?

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PFS Representative jobs near you
Infographic showing various Pfs Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 65% Physical, 1% Hybrid, and 34% Remote job distribution, with an average salary of $52,483 per year, or $25.2 per hour.

Insurance Appeals Rep

PFS Group

Houston, TX

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 4 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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