PFO Account Manager

Position: PFO Account Manager

Location: Denver

Hours: Full-Time, 40 hours per week (flexible with 4 or 5 days/week), Hybrid 1 or 2 days a week remote

Position Purpose: Reporting to the Director of the Patient Finance Office, this non-exempt, full-time position is responsible for day-to-day tasks associated with patient referrals, data collection, entry, retrieval and reporting of computerized patient billing system and collection on patient/insurance accounts. Responsibilities include but are not limited to:

Responsibilities:

• Working directly with the insurance company, healthcare providers, and patient, to get a claim processed and paid.
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Processes payments from insurance companies/patients and prepares a daily deposit.
• Reviewing and appealing unpaid and denied claims.
• Verifying patients’ insurance coverage.
• Answering patients’ billing questions.
• Identifies and resolves patient billing complaints.
• Anticipates insurance trends and advises supervisor of changes.
• Process patient refunds.
• Review accounts and post adjustments.
• Determine reasons for unpaid/partial/incorrectly paid claims.
• Data entry/filing.
• Prioritize multiple tasks on a daily basis.
• Collaborate with management and co-workers on a regular basis to resolve issues and to work on patient account status.
• Detail documentation of actions taken and follow-up.
• Using highest degree of customer service, phone communications with patients explaining their responsibilities and payments and follow-up actions.
• Ability to set priorities and meet deadlines
• Demonstrates flexibility and professionalism
• Ability to communicate well at all levels and exercises confidentiality
• Takes initiative and is a self-starter
• Other duties as deemed necessary
• OSHA and HIPAA compliant

*Responsibilities are subject to change at any time based on company needs.