PFS Specialist II - Patient Financial Services

Are you passionate about ensuring financial accuracy and supporting patient care through effective account resolution?

What We're Looking For

Detail-oriented with strong organizational and investigative skills

Self-motivated and proactive with a customer-first mindset

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

Familiarity with HIPAA regulations related to medical records and financial data

Knowledge of safety practices relevant to billing and administrative roles

Why You'll Love Working With Us

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

What You Will Do

Analyze and follow up on outstanding account balances and establish acceptable payment arrangements to ensure timely and accurate reimbursement.

Process claims populating into Ambulatory Claims Manager (ACM), resolving invalid/rejected claims within 5 days, documenting status, and referring issues to management.

Process hard copy claims for payment.

Attach EOBs for secondary/tertiary claims.

Ensure compliance with timely filing guidelines and fee schedule review.

Maintain practice responses to communications.

Create and respond to spreadsheets.

Monitor for missing responses and elevate as needed.

Resolve “unable to bill” claims by verifying insurance information.

Investigate reports and monitor denial trends provided by management.

Perform 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.

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