PBS Associate

  1. Responds timely to patient account inquires received from customer service.
  2. Identifies denial trends and notifies Supervisor and/or Manager to prevent future denials and further delay in payments. Makes recommendations for resolution.
  3. Pursues appeals when available. Initiates communication with coding team and clinical staff when coding related and medical necessity appeals are warranted.
  4. Consistently reviews processes and recommends any areas of opportunities with assigned payors
  5. Written communication demonstrates clear action taken on each account as well as what further action is needed to capture payment. Work output is documented clearly, so that various departments involved in resolution can review the account.
  6. Achieves improved team performance by completing assigned special projects.
  7. Identifies, analyzes and escalates trends affecting AR collections.
  8. Provides verbal and written communication while assisting management in addressing issues with difficult claims and aging.
  9. Facilitates department training by assisting other team members in payor source education and knowledge sharing as requested by Management.
  10. Ability to meet departmental standard for quality and productivity