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Pfs Representative Jobs (NOW HIRING)

Tucson Medical Center

PFS Representative II

Tucson, AZ · On-site

$16.25 - $17.75/hr

PFS Representative II Job Category Clerical Schedule Full time Shift 1 - Day Shift SUMMARY : Performs self-pay collections or third-party billing/collections which includes a complex review of ...

New England Baptist Hospital

$18.75 - $20.50/hr

PFS Representative Position Summary: As a member of our Patient Financial Services team, you will be responsible for using an electronic billing system to resolve billing issues and produce timely ...

Tucson Medical Center

PFS Representative II

Tucson, AZ · On-site

$16.25 - $17.75/hr

... their representatives. • Ability to demonstrate familiarity of the components of a medical chart in order to supply appropriate chart documentation to various payers as required (Third Party ...

Tucson Medical Center

PFS Representative I

Tucson, AZ · On-site

$16.25 - $17.75/hr

... their representatives. • Ability to demonstrate familiarity of the components of a medical chart in order to supply appropriate chart documentation to various payers as required (Third Party ...

Tucson Medical Center

PFS Representative I

Tucson, AZ · On-site

$16.25 - $17.75/hr

... their representatives. • Ability to demonstrate familiarity of the components of a medical chart in order to supply appropriate chart documentation to various payers as required (Third Party ...

PFS Group

Insurance Appeals Rep

Houston, TX · On-site

At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization. * At least 2 years of hospital insurance follow-up or denials ...

New

PFS Group

Insurance Appeals Rep

Houston, TX

At least 6 months as an Insurance Representative at PFS Group, or 12 months of equivalent experience from a comparable organization. * At least 2 years of hospital insurance follow-up or denials ...

New

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How much do pfs representative jobs pay per hour?

As of Jul 21, 2026, the average hourly pay for pfs 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.

What are some common challenges PFS Representatives face when handling patient billing inquiries?

PFS Representatives often encounter challenges such as navigating complex insurance policies, addressing billing discrepancies, and explaining charges to patients who may be frustrated or confused. Effectively resolving these issues requires strong communication skills, attention to detail, and the ability to remain calm under pressure. Additionally, staying updated on frequent changes in healthcare regulations and payer requirements is crucial to providing accurate information and ensuring smooth billing processes.

What jobs pay 4000 a week without a degree?

A PFS Representative typically earns commissions and bonuses that can reach or exceed $4,000 weekly, especially with experience and a strong client base. Other high-paying roles without a degree include sales positions, real estate agents, and certain entrepreneurial or commission-based jobs, but these often require skills, certifications, or licensing. Income levels vary based on performance, location, and industry demand.

What is the easiest healthcare job to get into?

A PFS Representative is generally considered an entry-level healthcare role that often requires minimal formal education and training. It typically involves administrative tasks related to patient billing and insurance, with on-the-job training and basic computer skills being sufficient for entry. This makes it one of the more accessible healthcare jobs for newcomers to the industry.

What is a PFS representative?

A PFS (Patient Financial Services) representative is a professional who assists patients with billing, insurance claims, and payment plans in healthcare settings. They ensure accurate financial communication and may use billing software or electronic health record systems to manage patient accounts.

What are the key skills and qualifications needed to thrive as a PFS (Patient Financial Services) Representative, and why are they important?

To thrive as a PFS Representative, you need a solid understanding of medical billing, insurance processes, and patient account management, typically supported by a high school diploma or equivalent and experience in healthcare finance. Familiarity with billing software, electronic health record (EHR) systems, and payer portals is commonly required. Strong attention to detail, problem-solving abilities, and effective communication skills help you excel in resolving billing issues and interacting with patients and insurers. These skills are vital to ensure accurate claim processing, timely revenue collection, and positive patient experiences.

What is the difference between Pfs Representative vs Insurance Sales Agent?

AspectPfs RepresentativeInsurance Sales Agent
Required CredentialsLicensing in financial products, certifications like FINRAState insurance license, certifications vary by product
Work EnvironmentFinancial institutions, client offices, call centersInsurance agencies, client homes, online platforms
Employer & IndustryFinancial services, banking, investment firmsInsurance companies, brokerages, agencies
Common Search & ComparisonYesYes

The Pfs Representative and Insurance Sales Agent roles both involve client interaction and licensing requirements. However, Pfs Representatives focus on financial products like investments and retirement plans, while Insurance Sales Agents primarily sell insurance policies. Both roles operate within financial and insurance industries, often requiring similar licenses, but their product focus and work environments differ slightly.

Is it hard to be a patient access representative?

Being a patient access representative can be challenging as it requires strong communication skills, attention to detail, and the ability to handle sensitive information. The role often involves managing insurance verification, scheduling, and patient inquiries, which can be demanding but manageable with proper training and experience.
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What job categories do people searching Pfs Representative jobs look for? The top searched job categories for Pfs Representative jobs are:
Pfs Representative jobs near you
Infographic showing various Pfs Representative job openings in the United States as of July 2026, with employment types broken down into 18% Internship, 1% As Needed, 71% Full Time, 3% Part Time, 1% Contract, and 6% Summer. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $52,483 per year, or $25.2 per hour.
Patient Financial Services Rep I - (Hospital Billing)

Patient Financial Services Rep I - (Hospital Billing)

West Tennessee Healthcare

Jackson, TN • On-site

$14.50 - $15.75/hr

Full-time

Re-posted 23 days ago

West Tennessee Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 79 frontline employees who took The Breakroom Quiz

699th of 886 rated healthcare providers

Job description

Category:
Admin Support
City:
Jackson
State:
Tennessee
Shift:
8 - Day (United States of America)
Job Description Summary:
This position is responsible for supporting management in the billing and collection of accounts receivable for inpatient and outpatient accounts, cash application and reconciliation and/or resolving customer service issues. This position requires basic understanding of the Revenue Cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the health system. The Patient Financial Services (PFS) Representative, Level 1 must also have basic knowledge of accounting, healthcare, and general office procedures, and be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payers, physicians, patients, other departments, etc. The PFS Representative, Level 1 is responsible for account resolution, managing correspondence with payers, patients, and departments, and working continuously to improve aging of receivables while minimizing controllable losses. This position assumes responsibility for collecting and documenting information on behalf of the patient.
Additional responsibilities include notifying patient and/or guarantor of liabilities, verifying insurance benefits, and assisting customers regarding billing questions. The PFS Representative, Level 1 works directly with customers, physicians, and payer representatives to provide information and resolve issues. Focus on customer service and process improvements are critical to this position, as are communication and conflict resolution skills. The PFS Representative, Level 1 must complete all initial and annual training relevant to the role and comply with all relevant laws, regulations, and policies.
ESSENTIAL JOB FUNCTIONS:
  • Reviews institutional and professional claims for appropriate use of procedure, modifiers and diagnostic codes to ensure maximum reimbursement using electronic billing systems and in-house computer systems to edit, modify, or change information on the UB04 and CMS-1500 claim forms for Medicare, Medicare Advantage, Medicaid/TennCare, BCBS, Commercial, and/or other third-party payers. Resolves system edits and claim errors in a timely manner. Governmental regulatory mandates are monitored for each claim to meet medical necessity guidelines. Adjusts all pre-bill denials before submitting a claim according to defined procedures. Retains and applies instructions per CMS and other billing guidelines to ensure the timely submission of clean claims.
  • Reviews work queues daily in order to maintain, monitor, and perform follow-up on patient accounts until benefits have been paid or resolved whereby the account can transferred to the appropriate payer work group or until the account is deemed to be self-pay and referred to the self-pay collectors. Identify problem accounts and work towards timely resolution. Assists in continuously improving the aging of receivables while minimizing controllable loss categories (i.e. timely filing). Ensures hospital, federal, and payer compliance guidelines are met.
  • Identifies and performs follow-up necessary to bill primary claims to appropriate insurance companies. Update Medicare Common Working File if necessary. Identifies denied or rejected claims and makes appropriate corrections by using claims status or claims management modules, or sending hardcopy based on payer guidelines. Works with clinical and other support departments to get corrections made to charges and claims to receive prompt and maximum payment.
  • Edits, modifies, and completes UB-04 and CMS-1500 forms for secondary/tertiary payer claims following specific individual payer requirements and contracts for both hospital and physician claims. Screens claims on-line or on paper for accuracy and obtain additional information for processing claims manually or via computerized system (EDI).
  • Performs post review of all payments applied to assigned accounts to ensure payments and discounts are in compliance with regulations, guidelines, and/or policy. Adjusts denial amounts, contractual adjustment amounts, or transfer patient/guarantor responsible amounts in accordance to defined procedures. Determines if any non-paid amounts are denied or incorrectly processed and follows approved procedures to appeal or otherwise address incorrectly denied amounts on patient accounts to include filing official appeals, reconsideration requests, or redetermination requests. Updates any remaining balances after third-party adjudication to the correct workgroup as necessary according to defined procedures. Responsible for the analysis and processing of correspondence including rejections, requests for medical records, itemized bills, clarification of detail on bill, etc. Analyze paid claims for accuracy of payments and or rejections and properly account for payment and adjustments.
  • Identifies account overpayments, determines payer source to be refunded, and initiates refund requests. Works with the department management, Compliance Department, and/or other organizational resources to determine if refund requests are valid. Refunds audited governmental payer claims promptly.
  • Prepares periodic credit balance reports for the assigned ledger in accordance with defined procedures.
  • Attends in-services, classes, and meetings related to job functions to include mandatory annual Billing and Coding Compliance training in accordance with the WTH Compliance Plan.
  • Works closely with department management and hospital departments to identity and resolve billing and collection issues. Identifies trends in billing and collection activity and reports any observed or suspected deviation from policies or from Medicare, Medicaid or other insurance regulations immediately to the department management.
  • Investigates and responds to questions or requests for additional information from patients/guarantors, attorneys, and all other authorized parties in a timely and professional manner.
  • Utilizes systems, tools, and department resources to achieve production and quality targets for resolution of patient accounts.
  • Demonstrate proficiency in at least one or more of the following: Billing processes of at least one specific payer's billing and collection practices; Account Follow-Up processes of at least one specific payer's billing and collection practices including credit balance resolution; Denials management processes to include denial/claim research, filing appeals, and resolution of denied patient accounts; Payment Posting and Cash Reconciliation processes; Self-Pay Processing / Customer Service including qualifying accounts for charity care, bad debt, and credit balance resolution.
  • Ensures data integrity for the generation of patient statements, letters, and other correspondence.
  • Initiates, reconciles, and maintains collection agency assignment of accounts meeting bad debt status. Completes placement and balancing reports for the bad debt ledger and monitors daily bad debt recovery and adjustments. Charges back accounts to active A/R from bad debt status as necessary.
  • Posts cash to accelerate cash flow including all necessary related data entry functions. Identifies appropriate patient accounts to credit for every payment received. Contacts payer sources for research of unidentified payments. Initiates, performs, and reconcile electronic remittance posting processes.
  • Batches cash source documents into groups, totals and balances each batch, completes batch sheets for data entry. Identifies non A/R and bad debt payments, batches separately and coordinates the application of the payment with accounting by obtaining and applying the correct general ledger number, completing a transfer form, and logging the transfer to be sent to the appropriate department.
  • Provides oversight to other representatives to ensure quality and efficiency of functions performed.
  • Gathers data, summarizes and prepares reports for management and completes special projects as assigned.
  • Ensures that incoming call volumes are processed expeditiously and communicates effectively in all patient interactions.
  • Conducts in-person patient interviews for customer service needs.
  • Ensures that incoming correspondence is processed expeditiously.
  • Ensures that all written responses are clearly and professionally communicated.
  • Notifies patient and/or guarantor of insurance Explanation of Benefits to patients, including deductibles, co-pays, coinsurance, non-covered expenses, denials, and additional information needed; assists patients with follow-up to insurance carriers for account resolution..
  • Assists customers regarding billing questions and ensures appropriate resolution of problems. Explain and interpret eligibility rules and regulations or identify other resources available for financial assistance. Keep updated on changes with regulatory issues.
  • Assesses financial information for patients that are unable to pay balances in full and establishes payment plans in accordance to defined standards.
  • Serves as contact for others regarding questions/account issue resolution. Mentors and trains other staff.
  • Communicates daily via the telephone or written communication with payers, patients, departments to obtain and provide all information for payers to process and pay claims quickly and accurately.
  • Works with other departments (e.g. PAS, HIM, Case Management, etc.) to appropriately contribute to account resolution and manage receivables.
  • Takes personal accountability for professional growth and development.
  • Performs related responsibilities as required or directed.

JOB SPECIFICATIONS:
EDUCATION:
  • High School Diploma required.

LICENSURE, REGISTRATION, CERTIFICATION:
  • N/A

EXPERIENCE:
  • 1-2 years of healthcare or related experience preferred.
  • Knowledge of medical billing and collections or other financial policies and procedures and must possess the ability to perform medical billing, collection, or customer service functions as normally acquired through related work experience or the equivalent of three (3) months of on-the-job training.

KNOWLEDGE, SKILLS AND ABILITIES:
  • Requires basic knowledge of accounting principles and general office procedures, including healthcare revenue cycle operations.
  • Ability to understand basic knowledge of principles that directly impact the accounts receivable, including debit and credit transactions; charge transfers; contractual allowances and adjustments; financial class changes required.
  • Requires basic knowledge of standard PC word processing and website navigation for payer follow up.
  • Demonstrated communication skills to clearly and concisely communicate verbally and in writing with peers, managers, payers, physicians, patients, and other departments required.
  • Strong interpersonal skills and the ability to work through a variety of issues in a diplomatic fashion required.
  • Ability to read, write, interpret, follow, and apply oral and written procedures and perform mathematical calculations as normally acquired through high school graduation.
  • Basic analytical and mathematical skills required.
  • Maturity and ability to assume the responsibility for an assigned section within a work group of the organization's Accounts Receivable.
  • Knowledge and general understand of medical coding systems preferred.
  • Ability to understand, make changes, and apply complex and detailed guidelines and billing instructions to meet regulatory mandates and ensure that the hospital receives maximum reimbursement.

NONDISCRIMINATION NOTICE STATEMENT
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

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