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Claims Resolution Specialist

PFS Group

Claims Resolution Specialist

Houston, TX +1 location
Full Time
Paid
  • Responsibilities

    Job Description

    PFS GROUP, one of the fastest growing national healthcare outsourcing companies, is seeking Insurance Specialists to provide regular communication with insurance companies to ensure timely resolution of account balances and patient’s eligibility for date of service. It also involves placing outgoing calls and receiving incoming calls to facilitate collection and resolution of insurance accounts.

    PFS GROUP is focused on helping our client partners resolve healthcare accounts receivable better and faster than our competition. Our experience and success, combined with a strategic sense of urgency, provide unparalleled results for our prestigious clients.

    Would you like to be a part of one of the fastest growing national healthcare outsourcing companies? One that is experiencing steady growth while providing superior service to our clients?

    Teamwork, Dependability, Motivation, and Ethics are an integral part of all positions with PFS Group.

    REQUIREMENTS

    • Medical insurance and/or medical collections experience OR vocational school certification in Medical Insurance and Billing
    • Outstanding listening, communication, problem-solving and research skills
    • Good computer skills
    • Strong customer service experience demonstrating compassion and concern
    • Ability to work well under pressure and multi-task routinely
    • Professional presentation/appearance/demeanor
    • Demonstrated stable work history
    • Commercial, Medicare, Medicaid, and workers’ comp knowledge
    • HIPAA knowledge
    • Non-smoker

    PREFERENCES

    • Medi-Cal and California Children’s Services (CCS)
    • Ability to speak Spanish fluently
    • CUBS computer system experience

    ALL CANDIDATES WILL UNDERGO A NATIONAL BACKGROUND CHECK AND DRUG SCREENING.

     

    Company Description

    PFS Group Nationwide Patient Account Management Firm. Based in Houston, Texas, with satellite offices in Texas, California and North Carolina, we currently work with 25+ 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. Our commitment to the healthcare industry is also demonstrated through our sponsored and encouraged certification achievements, as well as participation in AAHAM and/or HFMA. PFS Group offers a friendly, caring work environment, competitive benefits and compensation, (ZayZoon option available!) medical, dental, vision, short and long-term disability, life insurance, Hospital Indemnity, Critical Illness, Accident Insurance, MDLive, a matching 401(k) with profit-sharing, etc. Teamwork, Dependability, Self-Motivation and the highest level of professional conduct are an integral part of all positions with PFS Group!

  • Locations
    Fresno, CA • Houston, TX