PFS Quality Review Specialist
Found in: Resume Library US A2 - 2 weeks ago
The PFS Quality Review Specialist works with internal staff and third party payers to ensure timely recovery of outstanding Accounts Receivable by maintaining high productivity standards for outgoing collection calls. In addition to conducting reviews of other collectors accounts and collection activity/actions, reviewing notes, tracking activity, and ensuring proper actions are taken timely, the PFS Quality Review Specialist provides training and payer update information in private or public forums, as well as, ensuring collectors are familiar with tools and processes available to enhance efficiency and optimization of the collection process.
Required Qualifications:
- Require a minimum of six (6) years of experience in a healthcare business office. Bachelor's degree can substitute for four years of experience on a year-for-year basis.
- Require competence in three (3) or more functional areas including: Billing, Collections, Customer Service, Cash Posting, and/or Registration.
- Require Certified Patient Account Technician (CPAT) certificate or Certified Revenue Cycle Specialist (CRCS).
Preferred Qualifications:
- Prefer extensive experience in healthcare working with Third Party Billing and Collections with general knowledge of billing, collections, and finance.
- Prefer working knowledge of payer operations, claim processing, payment methodology and ability to train/teach other employees.
- Prefer demonstrated computer literacy with Windows-based software programs, as well as, the ability to review and update both patient and insurance information in the computer system.
- Prefer strong written and verbal communication skills with the ability to communicate effectively and with a distinct speaking voice.
- Prefer the ability to quickly resolve customer complaints.
Mandatory Education:
HS EQ: High School Diploma, GED or Certificate
Preferred Education:
Required License and Certs:
Preferred License and Certs:
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