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Pfs Manager Jobs (NOW HIRING)

PFS Group

Remote Insurance Rep

Houston, TX · Remote

$53K - $67K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

Prisma Health

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 ...

IBERIA MEDICAL CENTER

PFS Specialist II

New Iberia, LA · On-site

$14 - $18.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... the PFS Assistant Manager. Provides back-up coverage to the Commercial,Medicare and Medicaid Billers for billing or follow-up and to the CreditBalance Clerk as needed. EDUCATION * High School ...

Prisma Health

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 ...

IBERIA MEDICAL CENTER

PFS Specialist II

New Iberia, LA · On-site

$14 - $18.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... the PFS Assistant Manager. Provides back-up coverage to the Commercial,Medicare and Medicaid Billers for billing or follow-up and to the CreditBalance Clerk as needed. EDUCATION * High School ...

Prisma Health

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 ...

Gibson Area Hospital

PFS - Coder I FT

Gibson City, IL · On-site

$21 - $32/hr

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type ... Appropriately refers all non-routine issues to management for clarification. * Re-code and ...

PFS Group

Insurance Appeals Rep

Houston, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

PFS Group

Insurance Appeals Rep

Houston, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

Archbold Medical Center

PFS TEAM LEADER

Thomasville, GA · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

PFS Team Leader-Patient Financial Services Description: Responsible for the timely filing and ... Time management and productivity must be excellent. Physical Demands: Good physical and mental ...

Archbold Medical Center

PFS TEAM LEADER

Thomasville, GA · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

PFS Team Leader-Patient Financial Services Description: Responsible for the timely filing and ... Time management and productivity must be excellent. Physical Demands: Good physical and mental ...

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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.

What cities are hiring for Pfs Manager jobs?

Cities with the most Pfs Manager job openings:

What states have the most Pfs Manager jobs?

States with the most job openings for Pfs Manager jobs include:

Pfs Manager jobs near you

Remote Insurance Rep

PFS Group

Houston, TX • Remote

$53K - $67K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 7 days ago

Job description

Job Purpose:

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 unpaid balances, correcting billing issues, submitting appeals, and communicating with insurers, patients, and internal teams to resolve discrepancies. Strong knowledge of insurance guidelines, billing systems, and effective accounts receivable management is essential, with responsibility for managing assigned inventories based on client needs.
Key Responsibilities:

  • Initiates contact with insurance payers to collect contracted rates on outstanding claims
  • Reviews, monitors and effectively reduces aged inventory
  • Successfully identifies root causes for denials or non-payment, prioritizing collection metrics in all work efforts
  • Ensures timely filing deadlines are achieved according to payer guidelines
  • Monitors accounts for updates on claims processing, taking care to resolve balances with single interventions whenever possible
  • Request appropriate claim corrections and rebill as needed
  • Informs supervisor of trends noticed when working insurance inventory
  • Interpret payment variances and payer guidelines to monitor for underpayment opportunities
  • Contacts guarantors as needed to resolve coverage discrepancies
  • Corrects adjustments as needed to ensure balances are accurately documented

Education and Experience:

  • High school diploma or equivalent is required
  • At least one year experience in revenue cycle, with emphasis on Insurance Follow-Up, Denials, Billing, or Cash Posting
  • Experience with EPIC HB or PB Resolute


Required Skills and Abilities:

  • Strong understanding of insurance policies, coverage, claims processes, and reimbursement, with the ability to research payer billing policies and medical bulletins to accurately troubleshoot denials and unpaid balances
  • Excellent communication skills, both verbal and written, with the ability to explain complex information clearly
  • Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook
  • Strong analytical and problem-solving skills, with attention to detail
  • Ability to work independently and manage time effectively in a fast-paced environment

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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