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Pfs Manager Jobs in California (NOW HIRING)

Medix

PFS Manager

Aliso Viejo, CA · On-site

$24/hr

Job Summary Our client is seeking an experienced PFS Manager for an insurance collections role. The primary responsibility will be to handle and manage insurance collections, including working on ...

Eisenhower

Insurance Analyst II

Rancho Mirage, CA · On-site

$20.71 - $31.46/hr

Ensures PFS management is kept up to date with contract, payer or system changes and/or issues.11.Assigns a status code to each worked account to enable account tracking, statistical data gathering ...

PFS Pool Services

Pool Maintenance Technician

Los Gatos, CA · On-site

$19.25 - $25/hr

... management and customers. The ideal candidate has strong communication and customer service skills, a willingness to learn, and is comfortable working outside much of the year. PFS Pool Service is ...

Peninsula Family Service

Teacher

Daly City, CA · On-site

$28.84 - $37.85/hr

Site Manager JOB CLASSIFICATION: Non-Exempt About Us Peninsula Family Service (PFS) is a nonprofit organization that provides children, families, and older adults with the support and tools they need ...

Peninsula Family Service

Teacher

Daly City, CA · On-site

$28.84 - $37.85/hr

Site Manager JOB CLASSIFICATION: Non-Exempt About Us Peninsula Family Service (PFS) is a nonprofit organization that provides children, families, and older adults with the support and tools they need ...

Peninsula Family Service

Teacher

Daly City, CA · On-site

$28.84 - $37.85/hr

Site Manager JOB CLASSIFICATION: Non-Exempt About Us Peninsula Family Service (PFS) is a nonprofit organization that provides children, families, and older adults with the support and tools they need ...

Imperial PFS

Sales Executive

San Francisco, CA · On-site

$90 - $110/hr

Imperial PFS offers a 401(k) with a company match * Company culture: Our Associates are the ... The person serving in this role will be responsible for both developing new business and managing ...

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Pfs Manager information

What is a PFS manager?

PFS Managers, or Patient Financial Services Managers, oversee the financial operations related to patient accounts within healthcare organizations. They are responsible for managing billing, collections, and reimbursement processes to ensure accurate and timely payment for medical services. PFS Managers also supervise staff, maintain compliance with healthcare regulations, and develop strategies to improve revenue cycle performance. Their work helps healthcare facilities maintain financial health while ensuring patients are billed correctly.

What are the common challenges faced by a PFS manager when coordinating with cross-functional teams?

As a PFS Manager (Patient Financial Services Manager), one of the main challenges is ensuring effective communication between billing, clinical, and administrative teams while managing complex reimbursement processes. Balancing regulatory compliance with operational efficiency often requires meticulous attention to detail and proactive problem-solving. Additionally, navigating evolving payer requirements and integrating new technologies can present hurdles that require adaptability and collaborative leadership. Building strong relationships across departments and staying updated on industry changes are key to overcoming these challenges.

What are the key skills and qualifications needed to thrive as a PFS manager, and why are they important?

To thrive as a PFS Manager, you need expertise in healthcare billing, revenue cycle management, and a solid understanding of insurance regulations, typically supported by a degree in healthcare administration or a related field. Familiarity with hospital billing systems, claims processing software, and regulatory compliance tools is essential, and certifications like CRCR (Certified Revenue Cycle Representative) are often preferred. Strong leadership, problem-solving abilities, and effective communication skills help you manage teams and resolve complex financial issues. These skills ensure efficient financial operations, regulatory compliance, and optimized revenue for healthcare organizations.
Pfs Manager jobs near you

PFS Manager

Medix

Aliso Viejo, CA • On-site

$24/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 28 days ago

Key responsibilities

  • Manage insurance collections, including handling appeals and denials.

  • Work with various payor mixes such as Medicare, Cigna, Humana, and Med Advantage.

  • Touch 50 accounts per day while maintaining high-quality standards as audited monthly.

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking an experienced PFS Manager for an insurance collections role. The primary responsibility will be to handle and manage insurance collections, including working on appeals, handling denials, and managing a variety of payor mixes. The role requires a metrics-driven approach with a focus on working efficiently with different insurance providers.
Responsibilities / Job Duties
  • Manage insurance collections and handle appeals and denials.
  • Work with various payor mixes including Medicare, Cigna, Humana, and Med Advantage.
  • Touch 50 accounts per day and maintain high-quality standards as audited monthly.
  • Engage in a 2-week training program with ongoing development.
  • Ensure metrics are met and manage ramp-up period to 50 accessions within 90 days.

Minimum Education and Experience Qualification Requirements
Experience
  • 3+ years of insurance collections experience.
  • Intermediate to advanced Excel knowledge with a required proficiency test.
  • Experience working with appeals and denials is essential.
  • Experience with Lab/Xifin/genetic testing is a plus.

Skills
  • Advanced skills in Excel.
  • Understanding of the denials/appeals process.
  • Experience with CMS-1500 forms.
  • Strictly in collections, not full cycle experience preferred.

Schedule / Shift
Can start as early as 6 AM PST, with an 8-hour shift. Training will start between 6 AM-7 AM PST, and they can later flex up to 8 AM PST.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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