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Pfs Manager Jobs in Georgia (NOW HIRING)

Primerica, Inc.

Trade Principal 1

Duluth, GA · On-site

$53K - $55K/yr

Works closely with the appropriate New Business management in providing instructions for processing ... and PFS Investment's compliance suitability and NIGO (not in good order) guidelines. • Large ...

Primerica

Trade Principal 1

Duluth, GA · On-site

$61 - $63/hr

Works closely with the appropriate New Business management in providing instructions for processing ... PFS Investment's compliance suitability and NIGO (not in good order) guidelines.■Large Trade ...

Primerica

Trade Principal 1

Duluth, GA · Hybrid

$53K - $55K/yr

Works closely with the appropriate New Business management in providing instructions for processing ... specific products and PFS Investment's compliance suitability and NIGO (not in good order ...

Georgia Urology PA

URODYNAMICS Tech

Gainesville, GA

$24 - $32.75/hr

May perform pressure flow studies (PFS) in patients with urgency incontinence after bladder outlet ... Ability to multitask, to manage time and meet time-sensitive deadlines. * Operate, calibrate, and ...

Georgia Urology PA

URODYNAMICS Tech

Gainesville, GA · On-site

$24 - $32.75/hr

May perform pressure flow studies (PFS) in patients with urgency incontinence after bladder outlet ... Ability to multitask, to manage time and meet time-sensitive deadlines. * Operate, calibrate, and ...

Georgia Urology

URODYNAMICS Tech

Gainesville, GA · On-site

$24 - $32.75/hr

May perform pressure flow studies (PFS) in patients with urgency incontinence after bladder outlet ... Ability to multitask, to manage time and meet time-sensitive deadlines. * Operate, calibrate, and ...

Georgia Urology PA

URODYNAMICS Tech

Gainesville, GA · On-site

$24 - $32.75/hr

May perform pressure flow studies (PFS) in patients with urgency incontinence after bladder outlet ... Ability to multitask, to manage time and meet time-sensitive deadlines. * Operate, calibrate, and ...

Dunkin

Baker/Opener

Athens, GA · On-site

$12/hr

We are interested in Baker/Openers who thrive in a well-managed and process-oriented environment ... The Dunkin' Donuts trademarks, logos and designs are trademarks of PFS Stores LLC. Used under ...

Dunkin

Baker/Opener

Watkinsville, GA · On-site

$12/hr

We are interested in Baker/Openers who thrive in a well-managed and process-oriented environment ... The Dunkin' Donuts trademarks, logos and designs are trademarks of PFS Stores LLC. Used under ...

Baskin Robbins

Baker/Opener

Athens, GA · On-site

$12/hr

We are interested in Baker/Openers who thrive in a well-managed and process-oriented environment ... The Dunkin' Donuts trademarks, logos and designs are trademarks of PFS Stores LLC. Used under ...

Baskin Robbins

Baker/Opener

Watkinsville, GA · On-site

$12/hr

We are interested in Baker/Openers who thrive in a well-managed and process-oriented environment ... The Dunkin' Donuts trademarks, logos and designs are trademarks of PFS Stores LLC. Used under ...

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Showing results 21-40

All JobsPfs JobsPfs Manager JobsPfs Manager Jobs in Georgia

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.

What cities in Georgia are hiring for Pfs Manager jobs?

Cities in Georgia with the most Pfs Manager job openings:

Pfs Manager jobs near you

DENIALS MANAGEMENT COORDINATOR

Archbold Medical Center

Thomasville, GA • On-site

Full-time

Re-posted 24 days ago

Key responsibilities

  • Review and analyze audit information to identify opportunities for improvement and resolve payer issues.

  • Maintain and update audit tracking reports, monitor deadlines, and ensure timely filing of appeals.

  • Participate in payer meetings, analyze data related to denial trends, and act as a coordinator and mentor to denial staff.

Job description

Denials Management Coordinator - Revenue Integrity
Description:
Responsible for developing, implementing and managing a centralized program to promote greater efficiency with completing, tracking, and reporting coding and retro audit reviews to determine the appropriate appeal of patient accounts.
Combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by denial and audit of claims billed for rendered services.
Through continuous assessments, problem identification, and education, this individual facilitates the quality of health care delivery in areas of inpatient coding, DRG, outpatient, professional coding, medical necessity, government, and commercial payer requirements.
Furthermore, the individual routinely analyzes data related to payer audit and denial trends specific to coding-denial and takeback concerns.
This position works closely with HIM and CDI as well as key stakeholders across Revenue Cycle.
Responsibilities:
  • Reviews and analyzes current audit information to identify opportunities for improvement internally and payers.
  • Maintains reporting specific to audit statuses, identifying internal and payer patterns to better manage payer issues proactively.
  • Update and maintain audit tracking spreadsheets outside of RAC software.
  • Develop and maintain procedural documentation.
  • Identify and resolve system and payer issues that result in payment delays, incorrect payments.
  • Service as a PFS, PAS, HIM, Compliance, Contract Management, Clinical Liaison to third party payers, and other parties in a problem-solving or information capacity.
  • Monitor deadlines and ensure all parties meet timely filing for appeal deadlines.
  • Assist with auditing involving any third-party commercial payer.
  • Participate in payer meetings to discuss appeal progress and identify trends with payer processing appeals to resolve cases.
  • Establish and enforce internal audit policies including pre-payments audits.
  • Collect and analyze data from audits and concurrent reviews to identify recurring problems.
  • Acts as a coordinator and mentor to RID Denial Staff.

Education/Experience:
Minimum of an Associate's Degree in Business, Paralegal Studies, Coding, Healthcare, or related field.
Two (2) years of relevant experience in Compliance, Coding, HIM, Insurance denials, or Legal experience may be considered in lieu of an Associate's degree
Minimum three (3) years' experience within the healthcare field performing any variety of organizational, administrative, or process improvement functions.
Preferred experience:
Experience in compliance, coding, insurance denials, and/or a legal setting.
Experience or background in denials management.
Experience working with 3rd party payers.
Licenses/Certifications: None Required
Required Skills, Knowledge, and Abilities:
  • Excellent oral and written communication skills.
  • Establish and maintain professional and cooperative relationships.
  • Efficient and effective analytical skills.
  • Ability to research regulatory requirements.
  • Effective human relations abilities.
  • Proficiency with Microsoft applications and other applicable software and database management applications.
  • Effective problem-solving abilities.
  • Strong ability to effectively collaborate alliances and promote teamwork.

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