Job Overview:

The Patient Financial Services (PFS) Specialist plays a critical role in supporting the collections team in achieving departmental goals, including maximizing cash collections and improving reimbursement rates. This position requires comprehensive knowledge of both government and commercial payer requirements, the ability to interpret Explanation of Benefits (EOBs), and a proactive approach to claims resolution across all aging categories.

Key Responsibilities:

Collaborate with the collections team to meet daily productivity and quality targets Touch 50 accounts per day - will be audited each month on amount and quality Support training and coaching initiatives to enhance team performance and efficiency Document all account activity clearly and accurately in compliance with Standard Operating Procedures and manager directives Ensure all actions are audit-ready Proactively manage the full spectrum of outstanding A/R, including denials and credits Drive reduction in A/R aging in alignment with departmental goals Partner with team members to identify and resolve claim errors and discrepancies Promote continuous improvement in claims accuracy Prepare and submit corrected claims and appeals per payer-specific guidelines and timelines Need to be able to push back on insurances/handle appeals, work denials, etc. Monitor responses and follow up as necessary to ensure timely resolution Participate in special assignments or projects as directed by leadership

Schedule/Hours:

REMOTE. Monday - Friday. Can start as early as 6am PST - 8 hours shift.

Equipment :

You will be sent equipment

• We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

• As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.