PFS Claims Processor | Patient Financial Services | Full Time | Day Shift Position Available In Lake, Florida
Tallo's Job Summary: The full-time PFS Claims Processor position in Leesburg, Florida with Patient Financial Services involves researching and reviewing claims for accuracy, ensuring payer guidelines are met, making payer calls, and processing billing and collection tasks. Requirements include a high school diploma/GED, six months of billing/collection experience, proficiency in math and communication skills, and familiarity with insurance billing systems. UF Health Leesburg Hospital is the hiring organization, known for its advanced healthcare services including cardiovascular care and orthopedics.
Job Description
PFS Claims Processor | Patient Financial Services | Full Time | Day Shift Leesburg, Florida Patient Financial Services 50235 Job Description
Overview The PFS claims processor will research and review claims for accuracy and to ensure payer specific guidelines are met for correct billing to third party payers. Makes payer calls, and/or utilizes payer portals/resources systems to pursue payment of third-party claims. Make appropriate determinations for contractual adjustments, verifies system balances, calculates and post adjustments. Ensure financial integrity of Central Florida Health by processing and expediting billing and collection processes. Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Qualifications Education /Experience Required High School Diploma/GED-Required
Must be able to read, write, speak and understand English.
Requires six months billing/collection experience in hospital and/or physician’s office OR a minimum of one year experience in business setting dealing with finance, accounting, insurance portal systems.
Experience in Blue Cross, Medicare, Medicaid and/or other Third-Party payer billing or collections preferred.
Must have above average math skills and be proficient on a calculator.
Must be able to demonstrate the ability to communicate well with others and work independently under pressure and consistently achieve desired results
Must be able to deal effectively with the public and be able to use good judgment in the pursuit of resolving accounts
Medical terminology preferred.
Prefer experience with computerized insurance billing system and Microsoft programs
