Anna Jaques Hospital
United States
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The PFS Denial Specialist I role is vital to ensure that hospital denied accounts are thoroughly reviewed for any opportunity to correct, refile and or appeal claims for re-processing and reimbursement. The role also includes review and rework of all types of PFS denials. Good writing and analytical skills are a must. Job Description: Essential Duties & Responsibilities including but not limited to: 1. Reviews and completes continuous daily work queue volume of PFS related denials. Monitors days in A/R and ensures that they are maintained at the levels expected by management. 2. Analyzes work queues and other system report and identifies denial/non-payment trends and reports them to the supervisor. 3. Responds to incoming insurance/office calls with professionalism and helps to resolve callers’ issues, retrieving critical information...