Pfs Representative Iii

May perform the following based on job role as defined under essential functions. Performs Medicare billing and follow up, commercial and state Medicaid appeals, preparation for state Medicaid state fair hearings. Prepares refunds for payers and patient accounts which includes a complex review and reconciliation of government and non-government payers. Resolves problematic accounts demonstrating complete understanding of payer contracts and or payer requirements to ensure timely and accurate payments or timely responses on credits, recoupments, and refund requests. May be responsible for balancing all cash receipts and daily/monthly workbook with the finance department. (job specific). Makes independent decisions based on payer guidelines for reconciling, billing and or credit balances on accounts.