About this role

Prepare, process, and submit accurate and timely insurance claims for all payer types
Resolve pre-billing edits and route accounts for additional review if needed
Review and clear assigned work queues to meet KPIs
Document account activity per PHS policies and procedures
Contact insurance companies and patients for necessary information
Notify leadership of billing issues with internal departments or vendors
Submit electronic and paper claims with required attachments

High School Diploma or GED required
Less than 1 year of clerical or customer service experience preferred
Proficiency with Microsoft Office Suite required
Basic knowledge of ICD-10, HCPCS, CPT, revenue codes, UB-04/HCFA-1500 claim forms preferred
General knowledge of revenue cycle processes
Ability to maintain a HIPAA-compliant, confidential home workspace with reliable high-speed internet required

PFS Billing Specialist

Key skills