Back to Jobs search

PFS Insurance Follow-Up Rep Ambulatory Denials

Banner Health • Arkansas, Arkansas • 3w ago

Department Name:

Amb Billing & Follow Up

Work Shift:

Day

Job Category:

Revenue Cycle

Estimated Pay Range:

$18.02 - $27.03 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care.

The PFS Insurance Follow-Up Representative (Ambulatory Denials) is responsible for following up with assigned payer for various denials, such as no authorization, eligibility denials, etc. This position is a higher-level PFS role, as it does range across all groups of patients and all @types of provider specialties, as well as the full cycle of claim, from initial billing to zero balance. Experience with medical insurance AR and physician fee-for-service billing is ideal and knowledge of Medicare, Medicare Advantage, Medicaid, and Commercial insurance is highly preferred.

Location : Remote

Schedule : Monday-Friday, varying 8hr shifts 6am-6pm after successful completion of training program.

Ideal Candidate:

Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing clearly reflected in uploaded resume;

Minimum of 1 year experience writing appeal letters for payer/payor denials;

Intermediate to Advanced skill level in Microsoft Excel.

This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner.

CORE FUNCTIONS

May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.

As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement.

May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary.

Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients.

Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.

Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.

Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.

Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.

Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred.

Additional related education and/or experience preferred.

Anticipated Closing Window (actual close date may be sooner):

2026-03-21

EEO Statement:

EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability

Similar Jobs

Nursing Coordinator

Cowley College • Arkansas City, KS • 4d ago

Hospital & Medical

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13442315 Job Summary: The Nursing Coordinator is responsible for all aspects of the CNA, CMA, Home H...

4d ago

Go to Apply

Mental Health Therapist

Included Health • Contract • Arkansas • 2w ago

Hospital & Medical

Included Health (formerly Doctor on Demand + Grand Rounds Health) is seeking a 100% Remote Mental Health Therapist licensed in Arkansas to join our team of dedicated mental health clinicians, under the guidance of a Beha...

2w ago

Go to Apply

Nurse Practitioner

Lumeris • Arkansas, Arkansas • 2w ago

Hospital & Medical

Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individual...

2w ago

Go to Apply

Assistant Restaurant Leader (Assistant Manager)

7-Eleven • Port Aransas, TX • 1d ago

Retail & Hospitality

Assistant Restaurant Leader (Assistant Manager) Apply Now ( https://olivia.paradox.ai/co/7Eleven60/Job?job\id=PAF-7E-A1171EBD-397D-4517-893B-48FAF3E18B98\6419\1765485606\0 ) Save Job Job ID EARL40793 Store-ID 40793 Addre...

1d ago

Go to Apply

Restaurant Crew

7-Eleven • Port Aransas, TX • 1d ago

Retail & Hospitality

Restaurant Crew Apply Now ( https://olivia.paradox.ai/co/7Eleven60/Job?job\id=PAF-7E-2AA91615-A081-44BE-A991-41B5C0611F48\6419\1765485606\0 ) Save Job Job ID ERC40793 Store-ID 40793 Address 3501 STATE HIGHWAY 361, PORT A...

1d ago

Go to Apply

Electrical Technology Instructor

Cowley College • Arkansas City, KS • 4d ago

IT & Engineering

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13442317 Position Type:Full Time Faculty Position Status:Salary/Exempt Pay Frequency:Monthly Locatio...

4d ago

Go to Apply

LTC Claims Operations Manager

Manulife • Arkansas, Arkansas • 5d ago

Finance, Accounting & Banking

Day-to-day management of one or more customer support / operations teams. Work on and lead departmental and enterprise-level initiatives and projects. Position Responsibilities: Individual Responsibilities: 50% Managemen...

5d ago

Go to Apply

Line Mechanic C-A

American Electric Power • Aransas Pass, TX • 6d ago

Manufacturing & Warehouse

Job Posting End Date 12-21-2025 Please note the job posting will close on the day before the posting end date Job Summary Perform work involved with the installation, rearrangement, maintenance, operation, removal, and i...

6d ago

Go to Apply

AUDITOR I

State of Arkansas • Arkansas, Arkansas • 6d ago

Finance, Accounting & Banking

AUDITOR I Date: Dec 10, 2025 Req ID: 54654 Location: statewide, AR, US, 72202 Category: DEPT OF WORKFORCE SERVICES Anticipated Starting Salary: $58,700.10 Position Summary The Auditor I position will examine and analyze...

6d ago

Go to Apply

Account Executive, CoStar Data & Analytics - Arkansas (Fayetteville/Bentonville)

CoStar Realty Information, Inc. • Arkansas, Arkansas • 1w ago

Sales & Marketing

Account Executive, CoStar Data & Analytics - Arkansas (Fayetteville/Bentonville) Job Description Who is CoStar Group? CoStar Group (NASDAQ: CSGP) is a leading global provider of commercial and residential real estate...

1w ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.