Become a PFS Specialist – Support Financial Excellence and Patient Care!
What We’re Looking For:
Commitment to Everyday Excellence values in daily work.
Prior experience in all phases of Business Office operations and Insurance Collections.
High School Diploma or GED preferred.
Excellent understanding and knowledge of Commercial Insurance.
Strong initiative, teamwork, and communication skills.
Dedication to regulatory compliance, ethical standards, and patient/employee safety.
Why You'll Love Working With Us: At Baton Rouge General our patients aren't the only people we take care of; we take care of our team too. We are proud to offer our employees the benefits and resources they need to be their best selves at work and at home.
A comprehensive benefits program for you and your family.
Professional development and support.
Various employee perks include generous paid time off, flexible positions, and our Baton Rouge General Fit! program.
We are a nationally and locally recognized leader in quality and ranked one of the best healthcare employers in the state.
Check out our employee perks: https://www.brgeneral.org/about/careers/perks
What You Will Do: Job Purpose or Mission:
To analyze and follow up outstanding account balances and establish acceptable payment arrangements.
Essential Job Functions:
Perform status checks on claims submitted to payers with no response after 45 days, including checking payer websites, contacting payers by phone, and documenting actions.
Process hard copy claims for payment, obtain EOBs for coordination of coverage, review claims for guidelines, and refer issues to management.
Maintain practice responses to communications, create/respond to RAI or spreadsheets, monitor responses, and escalate issues.
Handle special projects, resolve “unable to bill” claims, investigate reports, and monitor denials.
Perform all other duties as assigned.
What Sets BRG Apart: At Baton Rouge General, we are a community of compassionate, caring individuals who set the bar when it comes to healthcare excellence. Our mission is to preserve and restore health, one person at a time. From clinical to non-clinical – what you do here matters.
With over 600 licensed beds between three campuses, Baton Rouge General offers the full spectrum of care from delivering newborns to providing end of life support through hospice. With clinics located throughout Baton Rouge and the surrounding areas, our physician group provides patients with comprehensive care and a full suite of specialties, including internal and family medicine and specialty care.
Ready to be part of a team that values your skills and dedication? Apply now and take the next step in your career with us.
Additional Requirements:
Maintains knowledge of and adherence to all applicable HIPAA regulations and safety practices appropriate to the job position.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
General Health System is a healthcare organization.