The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
Patient Financial Specialist II Governmental, Fulltime, First Shift
Greenwood, SC · On-site
$17 - $22.75/hr
Responsible for managing status updates on all outstanding accounts in accordance with assigned protocols of Patient Financial Services (PFS). Evaluates the course of action for accounts to ensure ...
Patient Financial Specialist II Governmental, Fulltime, First Shift
Greenwood, SC · On-site
$17 - $22.75/hr
Responsible for managing status updates on all outstanding accounts in accordance with assigned protocols of Patient Financial Services (PFS). Evaluates the course of action for accounts to ensure ...
The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for ...
Medicaid Specialist
Syracuse, NY · On-site
$22 - $26/hr
Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis. * Provide written referral and backup documentation on Medicaid cases requiring ...
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Medicaid Specialist
Syracuse, NY · On-site
$22 - $26/hr
Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis. * Provide written referral and backup documentation on Medicaid cases requiring ...
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.58 - $32.31/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision, performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.58 - $32.31/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision, performs importing electronic remittance advices from clearing house and e-posting file.
Medicaid Specialist
Syracuse, NY · On-site
$22 - $26/hr
Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis. * Provide written referral and backup documentation on Medicaid cases requiring ...
Quick apply
Medicaid Specialist
Syracuse, NY · On-site
$22 - $26/hr
Reports all Medicaid application issues to the PFS Manager, Director of Finance and VP of Finance on a routine basis. * Provide written referral and backup documentation on Medicaid cases requiring ...
PFS Payment Poster
Providence, RI · On-site
$19.58 - $32.31/hr
The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.58 - $32.31/hr
The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision performs importing electronic remittance advices from clearing house and e-posting file.
Patient Account Rep Level II - 100% Remote (4228)
Memphis, TN · On-site +1
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
Patient Account Rep Level II - 100% Remote (4228)
Memphis, TN · On-site +1
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
Patient Account Rep Level II - 100 % Remote (5516)
Memphis, TN · On-site +1
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
Patient Account Rep Level II - 100 % Remote (5516)
Memphis, TN · On-site +1
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision, performs importing electronic remittance advices from clearing house and e-posting file.
PFS Payment Poster
Providence, RI · On-site
$19.97 - $32.96/hr
SUMMARY The PFS Payment Poster reports to the Supervisor PFS Receivables Management. Under general supervision, performs importing electronic remittance advices from clearing house and e-posting file.
Remote Insurance Rep
Houston, TX · On-site +1
$53K - $67K/yr
The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching ...
Remote Insurance Rep
Houston, TX · On-site +1
$53K - $67K/yr
The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching ...
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to ...
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to ...
Team Lead, MEP/PEP Administration, (PFS)
Atlanta, GA · Remote
$85K - $112K/yr
Pension Financial Services (PFS), a Strongpoint Partner, is seeking an experienced Retirement Plan Team Lead to manage a portfolio of approximately 65-75 qualified retirement plans while providing ...
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Team Lead, MEP/PEP Administration, (PFS)
Atlanta, GA · Remote
$85K - $112K/yr
Pension Financial Services (PFS), a Strongpoint Partner, is seeking an experienced Retirement Plan Team Lead to manage a portfolio of approximately 65-75 qualified retirement plans while providing ...
PFS Analyst
Columbia, SC · On-site
Evaluates payer performance and payment trends to provide management with valuable statistics to ... Assures timely communication of all meeting outcomes to appropriate PFS team members. * Attends ...
PFS Analyst
Columbia, SC · On-site
Evaluates payer performance and payment trends to provide management with valuable statistics to ... Assures timely communication of all meeting outcomes to appropriate PFS team members. * Attends ...
Remote Insurance Rep
Houston, TX · Remote
$53K - $67K/yr
The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching ...
Remote Insurance Rep
Houston, TX · Remote
$53K - $67K/yr
The Insurance Representative at PFS Group, under the supervision of the Insurance Supervisor, manages insurance claims to ensure timely and accurate reimbursement. The role involves researching ...
Patient Account Rep Level II - 100 % Remote (5516)
Memphis, TN · On-site
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
Patient Account Rep Level II - 100 % Remote (5516)
Memphis, TN · On-site
$17.50 - $23/hr
Provides continuous updates and information to PFS management regarding ongoing errors, payer related issues, registration issues and other controllable related activities affecting reimbursement and ...
Patient Account Representative
Truckee, CA · On-site
$28.46/hr
Notifies PFS Manager of changes to update other TFH Departments. * Thoroughly documents all interactions with payers. * Handles all payer-specific communications, including telephone and email, from ...
Patient Account Representative
Truckee, CA · On-site
$28.46/hr
Notifies PFS Manager of changes to update other TFH Departments. * Thoroughly documents all interactions with payers. * Handles all payer-specific communications, including telephone and email, from ...
PFS Analyst
Greenville, SC · On-site
Evaluates payer performance and payment trends to provide management with valuable statistics to ... Assures timely communication of all meeting outcomes to appropriate PFS team members. 10% * Attends ...
PFS Analyst
Greenville, SC · On-site
Evaluates payer performance and payment trends to provide management with valuable statistics to ... Assures timely communication of all meeting outcomes to appropriate PFS team members. 10% * Attends ...
Pfs Manager information
What are PFS Managers?
What are the common challenges faced by a PFS Manager when coordinating with cross-functional teams?
What are the key skills and qualifications needed to thrive as a PFS (Patient Financial Services) Manager, and why are they important?
CHRISTUS Health rating
6.7
Based on 524 frontline employees who took The Breakroom Quiz
525th of 884 rated healthcare providers
Job description
This position is responsible for managing daily activities as assigned by System Director or Director related to providing operational support on managed care contracts. The candidate will be responsible for working directly with managed care payers and PFS to resolve claim payment and administrative escalations occurring with managed care contracts. Responsible for the mentoring and training of team members as needed, providing subject matter expertise to improve efficiencies and results. The candidate will work collaboratively with Vice President Managed Care, Managed Care Team, Revenue Integrity, and PFS management.
Responsibilities:
- Assists the point person to the hospital leadership teams and business offices for the assigned CHRISTUS region(s) for all managed care related aspects, including contract performance and operational issues Carries out appropriate managed care related education and training including roll out of new payor contracts
- Assists in payor/plan dispute resolution projects or any other special projects
- Responsible for coordinating payer credentialing & re-credentialing activities
- Works with the hospital business offices with regard to tracking and reducing managed care denials and underpayments, including restitution or other prompt pay penalties
- Knowledge of Federal and Texas general regulatory environment related to managed care and participates in legislative advocacy activities as appropriate
- Monitor implementation managed care contracts for all CHRISTUS Health Providers
- Develop payer performance and monitoring tools
- Conduct data analyses/reports to the assigned System Director or Director on payments and operational issues associated with Managed Care contract language
Requirements:
- Bachelor's Degree preferred
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
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About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999