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Pfs Manager Jobs (NOW HIRING)

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 ...

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 ...

Baptist Health

Denials Specialist

Little Rock, AR · On-site

$17.25 - $23/hr

They will work closely with the PFS management to assist in collecting data on root causes and denial prevention procedures. Other information: * High school diploma or equivalent * Bachelor degree ...

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Pfs Manager information

What are PFS Managers?

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 (Patient Financial Services) 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.
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Pfs Manager jobs near you
PFS Analyst

PFS Analyst

Prisma Health

Greenville, SC • On-site

Full-time

Posted 8 days ago

Prisma Health rating

7.0

Company rating: 7.0 out of 10

Based on 334 frontline employees who took The Breakroom Quiz

404th of 869 rated healthcare providers

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Responsible and accountable for monitoring and/or resolution of high dollar, high profile, escalated accounts, timely and accurate posting, adjustments, correspondence, and/or denials resulting in significant exposure to Prisma Health. Work accounts ensuring complete, accurate, and compliant processes resulting in optimal collection and customer service performance for the organization. Work on various special projects as assigned to ensure billing, AR and denial prevention is optimal. Knowledge of payers and provides support to other team members as needed. Meets and exceeds the appropriate performance and productivity standards and key performance indications for the department. Demonstrates accurate and professional relationships with all Prisma Health patient accounts, ancillary departments and third party payers in accordance with Prisma Health Service Excellence, Standard of Behaviors and Compliance.

Accountabilities

  • Monitors, researches and/or resolves high dollar, high profile, and problem accounts, providing necessary information to various internal revenue cycle departments, clinical and corporate departments, and patients for resolution of account inquiries. 25%
  • Monitors, reviews and provides analysis of all assigned work queues, dashboards and watch lists, payer communications and analysis, identifying trends and working with other departments to resolve system issues. 15%
  • Demonstrates superior communication skills necessary for developing and maintaining positive professional relationships with team members, revenue cycle departments, clinical and corporate departments, payers, and industry organizations. 15%
  • Evaluates payer performance and payment trends to provide management with valuable statistics to facilitate improved payer relations and contracting criteria, identifies payer specific problem trends and works with clinical departments, outcomes management, managed care, reimbursement and PFS to rectify systematic issues. 10%
  • Facilitates, attends and/or participates in payer assigned meetings for improved payer relations and to identify and resolve payer processing, claims and denial issues. Assures timely communication of all meeting outcomes to appropriate PFS team members. 10%
  • Attends appropriate meetings and training seminars to assure awareness and understanding of all billing regulations, compliance policies, industry changes, and/or payer reimbursement guidelines. Maintains professional growth and development through seminars, workshops, in-service meetings, current literature and professional affiliations to keep abreast of latest trends in field of expertise.5%
  • Recommends and assists in the development of regular training sessions with team members, to ensure highest quality and productivity standards are achievable. Assists in on boarding of new team members as well as providing ongoing support for all FS team members. 5%
  • Identifies payer specific trends and works with revenue cycle, clinical and corporate departments, managed care and reimbursement teams on resolution. 5%
  • Maintains strict adherence to department quality measures and timely and accurate completion of assigned responsibilities.5%
  • Responsible and accountable for reconciliation and accuracy of vendor invoices, vendor staff set up in EPIC, vendor collection and expense reports.5%

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

  • High School diploma or equivalent
  • 5 years -Health Care Revenue Cycle experience including registration, billing, collections, credits, refunds, customer service, banking, finance or managed care.

Knowledge, Skills or Abilities

  • CRCA or CRCR - preferred

Work Shift

Day (United States of America)

Location

Patewood Outpt Ctr/Med Offices

Facility

7001 Corporate

Department

70019012 Patient Financial Services

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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