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Pfs Refund Representative Jobs (NOW HIRING)

Innova Solutions, Inc

RCM Functional Lead

Manhattan, NY · On-site

$60 - $65/hr

Team lead or supervisor-level experience (minimum) in backend PFS: denials, AR follow-up, ... and refunds, and coordination of benefits (COB) * Understanding of upstream billing and claims ...

Bayhealth

Insurance Follow-Up Specialist

Dover, DE · On-site

Pursues underpaid claims and submits overpayments for refunds. Documents inappropriate denial and ... company provider representatives, and accurately communicates variance reasons and expected ...

Endeavor Health

Financial Counselor

Evanston, IL · On-site

$20.69 - $30/hr

... PFS, the Financial Counselor works with patients and/or their representatives to resolve patient ... balances and refunds. Conducts follow-up telephone calls to patients /guarantors regarding ...

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How much do pfs refund representative jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for pfs refund representative in the United States is $25.23, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $28.85 per hour, depending on experience, location, and employer.

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Infographic showing various Pfs Refund Representative job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, 1% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $52,483 per year, or $25.2 per hour.

PFS Credit Balance Representative - 40 hrs/wk.

Findlay, OH • On-site

Blanchard Valley Health System
Health Care and Social Assistance • 1 - 5K employees
Learn more about Blanchard Valley Health Systemexternal

Full-time

Re-posted 11 hours ago

Blanchard Valley Health System rating

5.8

Company rating: 5.8 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

Job description

PURPOSE OF THIS POSITION
The Credit Balance Representative analyzes posted transactions to determine why there is a credit balance. This position requires detailed analysis and critical thinking to determine what is necessary to correct the account. After review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s).
JOB DUTIES/RESPONSIBILITIES
  • Duty 1. Researches and resolves credit balances on both self-pay and insurance lines. Having a clear understanding of payment posting processes to resolve these issues. Documents all patient accounts activities concisely, including future steps needed for resolution.
  • Duty 2. Responsible for refunding overpayments on accounts or transferring payments to the appropriate account/accounts.
  • Duty 3. Returns phone calls, referrals, or emails promptly and in a courteous manner.
  • Duty 4. Understands different payer regulations and can communicate effectively with patients regarding their Explanation of Benefits (EOB)
  • Duty 5. Performs filing, data entry, and other duties as assigned.
  • Duty 6. Identifies barriers to efficient departmental operations and takes an active role in developing appropriate and effective solutions.
  • Duty 7. Handles telephone questions and concerns from patients, payers, internal/external staff. ensures complaints and inquiries are recorded and reported to Leadership.
  • Duty 8. Monitors, completes, and maintains appropriate productivity levels of assigned tasks in accordance with team standards.
  • Duty 9. The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
  • Duty 10. Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection practices. Adheres to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines. Accurately documents all account activity. Regularly attends and actively participates in staff meetings, in-service, and continuing education programs as offered. This provides needed educational updates for compliancy and organizational changes in the healthcare industry.
  • Duty 11. Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. This could be remote and/or onsite as necessary, per the BVHS remote policy. Assists in other duties and projects as needed assigned by the supervisor and/or manager.

REQUIRED QUALIFICATIONS
  • High school graduate or GED equivalent
  • Certified Patient Financial Services Specialist certificate to be completed within 12 months of hire date.
  • 2-3 years of experience in medical billing and collections, or satisfactory completion of internal billing/self-pay billing assessment.
  • Excellent written and verbal communication with positive oriented interpersonal skills.
  • Knowledge and experience with Microsoft office products and Window PC functionality
  • Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures.

PREFERRED QUALIFICATIONS
  • Degree in healthcare administration or related field, and/or relevant work experience.
  • Medical terminology
  • ICD 10 and/or CPT coding knowledge

PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent bending, squatting, kneeling, and twisting. The associate must be able to sit for three hours, walk for one hour and stand for two hours per day. The associate must be able to lift 20 pounds. The individual must have excellent eye/hand coordination to operate the machines. This position requires corrected vision and hearing in the normal range.

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About Blanchard Valley Health System

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Blanchard Valley Health System, located in Findlay, OH, US, is a non-profit, integrated regional health system dedicated to providing a full continuum of health services to the residents of Hancock County and the contiguous communities in Ohio. The health system operates Blanchard Valley Hospital and Bluffton Hospital alongside a wide array of outpatient specialty clinics and centers such as the region's leading alcohol and drug addiction treatment center, Birchaven Village, a retirement community, and the Blanchard Valley Medical Practices. Founded in 1891, the health system's roots are ingrained in local philanthropy and community service.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Findlay, OH, US

Year founded

1891

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