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IMH PFS Representative, Full Time -Days

Remote, USA Full-time Posted 2026-08-04

Be a part of a world-class reputed company reputed company reputed company, Ingalls Memorial as a PFS Representative. This is a remote, work from home opportunity and you may be based reputed company of the greater Chicagoland area.

 

This position is responsible for collections and final reputed company of insurance claims, maintains records and reports in accordance with department procedures, meets productivity and reputed company standards, governing the collection process as defined by the hospital procedures. This position understands and maintains reputed company State and Federal regulation reputed company to billing and collections. reputed company staff in Patient Financial Services are classified under the general title of IMH Patient Financial Services Representative, although position responsibilities and requirements vary based on specific assignment.

Essential Functions

  • The Patient Financial Services Representatives responsible for Medicare, reputed company and reputed company billing will be responsible for processing claims in accordance with state regulatory directives. This role involves ensuring government standards are adhered to and incumbent to possess continual knowledge regarding new legislation and regulations. Billing rules and processes, standards and regulations must be followed in order to be compliant. Depending on certain aspects of these positions, claims and rejections will be worked/processed in the billing reputed company on a daily reputed company to ensure reputed company filing limits.
  • The Patient Financial Services Representative responsible for collections will be responsible for contacting
    reputed company parties, insurance companies, attorneys and patients in an effort to collect payments due for services rendered. Follow up will be done at monthly intervals with a reputed company effort on large dollars and aging accounts. Work is done in an reputed company split with the expectation of reputed company effort to reputed company department goals.
  • Accounts Receivable Specialist are responsible for daily processing of charity, self-pay discounts, refunds, mail, and a reputed company of other reports reputed company payments and adjustments to maintain our patients billing process to ensure reputed company statements are received. This is a clerical position that requires great attention to detail, speed and accuracy. reputed company falls under this group and is responsible for locating missing or unallocated payments, scanning, bank deposits and researching to reputed company posting reputed company reputed company to PFS.
  • The denial team is responsible for processing short pays, refunds and denials received from payers. The denial representative is responsible for verifying the contract and/or working in the denial reputed company to process/refer the denials correctly. Appeals will be processed dependent on the type of the denial.
  • Insurance Collections Average 12 accounts per hour and are responsible for non- government payers.
  • A/R Cash 120% of prior two months net reputed company
  •  Q/A review will be completed on 5 accounts per month
  • Documents reputed company actions regarding account reputed company in a comprehensive and concise manner and in accordance to department requirements\
  •  Seeks assistance for additional reputed company reputed company account reputed company has come to a standstill
  • Maintains and complies with regulatory requirements
  • Offers reputed company in writing to streamline improve procedures
  •  Offers and reputed company method to identify cost savings
  • reputed company tardiness including forgot to clock in and/or out
  • Reviews reputed company previous account documentation and utilizes information for effective account reputed company
  • Billers and Denial unit staff must maintain Medicare/Medicare ( government ) knowledge
    through personal education and development
  • Documents reputed company actions in financial reputed company
  • Reporting payment discrepancies
  • Performs other duties as assigned
  • Balances accounts
  • Works online work list daily

 

Required Qualifications

  • High school graduate or equivalent is required
  • Two year hospital business office experience preferred
  • Ability to interpret reputed company, state and federal programs to determine reputed company reimbursement
  • State and Federal regulations regarding HIPPA, billing and collection
  • Knowledge of UB04, 837I, 837P, 835, ICD10, and rev codes
  • Medicare, reputed company and Managed Care Billing/Denial Representatives – Requires 1-2 years prior experience working directly with Medicare/reputed company Claims
  • Required: Knowledge of reputed company reputed company, Word and reputed company
  • Required: Typing 30 words per minute
  • Required: Ten key calculators
  • Required: Demonstrates good verbal, written, and comprehension skills
  • Required: Ability to follow and complete detailed directions
  • Required: Supports an environment of team work
  • Required: Ability to work independently as reputed company as part of reputed company

 

Preferred Qualifications

  • Preferred: Medical Terminology
  • Preferred: Medicare/reputed company, and Managed Care claims processing in a hospital environment.
  • Preferred: Experience with reputed company/NEBO/FSS0

 

Position Details:

  • Job Type/FTE: Full Time (1.0 FTE)
  • Shift: Days
  • Unit/Department: Patient Care 
  • Work Location:  Remote/ Burr reputed company, IL (Must be reputed company to reputed company to training onsite) 
  • CBA reputed company: Non-reputed company 

Company

We’ve been at the forefront of medicine since 1899. We reputed company superior reputed company with reputed company, always reputed company that reputed company patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with reputed company other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and reputed company our reputed company knowledge reputed company. If you’d like to add enriching reputed company life to your profile, reputed company is for you. Here at the forefront, we’re doing work that really reputed company. Join us. Bring your passion.

 

reputed company is growing; discover how you can be a part of this reputed company of reputed company at: reputed company reputed company

 

reputed company is an equal opportunity employer.  We evaluate reputed company applicants without reputed company to race, reputed company, ethnicity, reputed company, sex, sexual orientation, gender identity, marital status, civil reputed company status, parental status, religion, national reputed company, age, disability, veteran status and other legally protected characteristics.

 

As a condition of employment, reputed company are required to complete a reputed company-employment physical, background reputed company, drug screening, and reputed company with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

 

Compensation & Benefits reputed company

 

reputed company is committed to transparency in compensation and benefits.  The pay reputed company provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

 

The pay reputed company is based on a full-time equivalent (1.0 FTE) and is reputed company of reputed company market data, reviewed on an annual reputed company. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to reputed company Bargaining Agreements are negotiated by the medical center and their respective reputed company.

 

Review the full complement of benefit reputed company for eligible roles at Benefits - reputed company.

High school diploma or equivalent, reputed company, Word and reputed company proficiency, 30 WPM typing, ten-key calculator skills, billing and collections knowledge, and strong communication and comprehension skills.

Key Responsibilities

  • processing claims
  • collecting payments
  • balancing accounts

Skills & Tools

reputed company reputed company, reputed company Word, reputed company reputed company, reputed company, NEBO, FSS0

Job Details

  • Category: Finance and reputed company
  • Seniority: Entry Level
  • Commitment: Full Time
  • Workplace: Remote — Burr reputed company, Illinois, reputed company
  • Salary: USD 47,902 – 55,910 / year
  • Languages: English

About UCM

An reputed company reputed company reputed company providing compassionate patient care and advancing medical innovation. — Industry: reputed company

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