PFS Representative CBO Billing Follow-up Denials Mgt

Department Information

Department Name: Amb Billing & Follow Up

Work Shift: Day

Job Category: Revenue Cycle

Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members.

Role Overview

As a member of the PFS Rep CBO, Billing Follow-up Denials Mgt team, you will work with insurance companies on behalf of the patient to assist with obtaining payments for our Acute and Ambulatory teams. You will bring your experience with EOBs and medical claims to research and hold payers accountable to pay expected rates according to contracts within allowed timeframes.

Schedule: Full time, Monday-Friday, 8hr shifts, typically 8am-5pm.

Location: REMOTE (Banner provides equipment).

Remote Eligibility: This position is available if you live in: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY.

Ideal Candidate

• 1 year of patient financial services (Central Billing) or medical claims experience (clearly reflected in resume).
• Experience with submitting appeals and understanding of EOBs.
• General knowledge of codes used for claim processing.

Position Summary

This position coordinates and facilitates patient billing and collection activities, including payment posting, collections, payor claims research, and accounts receivable work to ensure timely and accurate reimbursement.

Core Functions

1. Process payments, adjustments, claims, correspondence, refunds, denials, and financial applications accurately.
2. Reconcile, balance, and pursue account balances and denials, working with payor remits and facility contracts.
3. Research payments, denials, and accounts to determine discrepancies; make appeals and corrections.
4. Build strong working relationships with business units and hospital departments.
5. Respond to incoming calls and make outbound calls to resolve billing and accounting issues.
6. Work as a team to achieve goals in outstanding accounts and reduce Accounts Receivable balances.
7. Use systems to document statistical data and communicate with payors.
8. Work independently under general supervision using critical thinking to solve problems.

Qualifications

Minimum Qualifications

• High school diploma/GED or equivalent.
• 1+ years of experience in patient financial services, financial, collecting services, or the insurance industry.
• Ability to manage multiple tasks simultaneously.
• Strong interpersonal, oral, and written communication skills.
• Proficiency in common office software, word processing, spreadsheets, and databases.

Preferred Qualifications

• Work experience with company systems and processes.
• Previous cash collections experience.
• Additional related education or experience.

Compensation

Estimated Pay Range: $18.02 - $27.03 / hour.

Actual pay is determined based on years of relevant experience, education, certifications, skills, and geographic location.

Additional Information

Anticipated Closing Window: 2026-10-09

EEO Statement: EEO/Disabled/Veterans. Our organization supports a drug-free work environment.