Pfs Representative Iii Job at Tucson Medical Center (Tucson)

Pfs Representative Iii - Denials Specialist

May perform the following based on job role as defined under essential functions...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

High School diploma or General Education Degree (GED)
Three (3) years of related experience, specific to role specialty such as medical billing or third-party collection, or customer service in a hospital, payer, or physician setting
Technical experience in CMS/Medicaid regulations and/or commercial payer billing requirements
Minimum three (3) years’ experience in a windows environment, including Excel
Relevant professional certification encouraged within 2 years
Knowledge of medical insurance practices and policies and regulations
Knowledge of HMO, PPO, and Indemnity third party billing guidelines
Knowledge of either UB04 hospital or CMS physician billing forms
Knowledge of government and non-government uniform billing guidelines
Knowledge of medical terminology and coding Related to hospital billing and/or professional billing such as revenue, CPT diagnosis codes, modifiers, occurrence codes, value codes, and the appropriate usage of these codes

Job Responsibility

Assists management in maintaining or reducing account receivable (AR) days to meet industry standards and improve organizational cash flows
Ensures UB04 and HCFA 1500 claims and/or self-pay patient accounts are billed in a timely, complete, and accurate manner in accordance with appropriate guidelines
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence
Demonstrates understanding of the entire revenue cycle
Provides routine daily internal and external interface with unit/department management and staff, other service areas, information systems, physicians, physicians’ office staff, patients, software/hardware vendors, and third-party payers in order to resolve patient concerns, disputes, and billing audits in order to receive payment
Assists with problem solving, inquiries, and customer interaction to ensure positive results
Researches and analyzes any correspondence received related to assigned accounts
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable
analyzes and processes contractual write offs

Fulltime

Health insurance and authorization representative iii

The individual in this position manages and provides financial account managemen...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent
3 years of related experience, preferably in a hospital setting, or equivalent combination of education and experience
High degree of professionalism and motivation with excellent communication and customer service skills
Strong ability to multi-task and prioritize
Flexible to work weekends, other assigned hours and/or responsibilities as needed

Job Responsibility

Manages and provides financial account management for all assigned caseloads
Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Minimizing any delays from admission/arrival until the final bill is produced and any payer denials
Create a professional and effective customer-oriented environment
Confirm insurance information and discuss financial obligation
Review each visit for insurance history
Obtain benefits
pre-certification requirements and/or completes notification of admissions
Document demographic and insurance information

Fulltime

Health Insurance & Authorization Representative III

The individual in this position manages and provides financial account managemen...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School Diploma or equivalent required
AAS Degree preferred
2 years of related experience, preferably in a hospital setting, or equivalent combination of education and experience required
High degree of professionalism and motivation with excellent communication and customer service skills required
Strong computer skills and ability to type 45 words per minute preferred
Strong ability to multi-task and prioritize required
Medical terminology preferred
Flexible to work weekends, other assigned hours and/or responsibilities as needed required

Job Responsibility

Manages and provides financial account management for all assigned caseloads
Accountable for coordinating all activities necessary to financially secure the defined accounts through verifying insurances, requesting deposits for non-covered services and co-pays
Identifies complex problems that include but are not limited to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues
Minimizing any delays from admission/arrival until the final bill is produced and any payer denials
Create a professional and effective customer-oriented environment
Confirm insurance information and discuss financial obligation
Review each visit for insurance history
Obtain benefits
pre-certification requirements and/or completes notification of admissions
Document demographic and insurance information

Fulltime

Claim Resolution Representative III

With latitude for initiative and independent judgment within department guidelin...

Location

United States of America , Rochester

Salary:

19.62 - 26.49 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Associate's degree in business administration required
2 years of hospital/professional Patient Accounting, Consumer Collections experience, or Certification obtained from a nationally accredited billing program (i.e., Certified Medical Billing Specialist CMBS, Certified Medical Records Technician CMRT, Certified Medical Reimbursement Specialist CMRS) required
Or an equivalent combination of education and experience
Ability to type 25 wpm Required

Job Responsibility

Managing professional hospital accounts
Resolving balances of aged insurance accounts
Making independent decisions as to the processes necessary to collect denied insurance claims, no response accounts, and investigating resolving billing issues
Maintaining a detailed knowledge of billing requirements and regulations
Representing the department and Strong Memorial Hospital (SMH) in a professional manner, protecting confidentiality of patient information
Completes follow up activities on denied, unpaid, or under-paid accounts
Maintains a thorough knowledge of Professional Billing
Identify and clarify billing issues, payment variances and/or trends that require management intervention
Research and respond to third party correspondence, receive phone calls, explain policies and procedures
Participate in department staff meetings, education classes and training

Fulltime

New

Logistics Chargehand

As a Logistics Chargehand within the Construction Logistics Space, you will lead...

Location

United Kingdom , Somerset

Salary:

24.24 GBP / Hour

Wilson James

Expiration Date

March 09, 2026

Requirements

CITB HS&E Supervisor Test (to be completed before start date)
SSSTS (must be obtained within the first 3 months of employment)
CPCS Card (Traffic Marshal) or willing to work towards
Must be able to provide a 3-year work/ unemployment/ education history and the required vetting process in line with HPC protocols
Must be able to obtain the HPC pass

Job Responsibility

Lead a team within a dynamic construction logistics environment
Oversee the coordination and movement of permanent materials, including traffic marshalling duties
Ensure all logistical operations run smoothly and safely
Team supervision and some independent working across multiple logistics areas

What we offer

23 days annual leave + Bank Holidays (pro-rata)
Enhanced rate of pay for unsociable hours
Life assurance scheme
Pension Scheme 5% employer contribution
Access to online GP
Access to an industry leading Employee Benefits Platform offering lifestyle savings and discounts on most high street retailers, a Reward and Recognition programme
The opportunity to develop your career with access to training and development programmes
Employee Assistance Programme that provides a health and wellbeing support service
Employee Referral Scheme

Fulltime

!

New

Housekeeper-public Area-lead

Use checklists to ensure that cleanliness and condition of each assigned area me...

Location

Costa Rica

Salary:

Not provided

Marriott Bonvoy

Expiration Date

Until further notice

Requirements

Use checklists to ensure cleanliness and condition of each assigned area meets standards
Identify and report maintenance issues
Request preventative maintenance or non-urgent repairs
Contact other departments for urgent repairs
Clean, maintain, and store cleaning equipment
Document and report outstanding issues
Complete required Housekeeping paperwork
Respond promptly to requests from guests, Front Desk, or At Your Service
Assist management in hiring, training, scheduling, evaluating, counseling, disciplining, motivating and coaching employees
Follow all company and safety and security policies and procedures

Job Responsibility

Serve as a role model

Fulltime

New

Composites Fabrication & Automation Engineer

At Boeing, we innovate and collaborate to make the world a better place. We’re c...

Location

United States , Tukwila, Washington

Salary:

119850.00 - 197800.00 USD / Year

Boeing

Expiration Date

March 10, 2026

Requirements

Bachelor of Science degree from an accredited course of study in engineering, engineering technology (including manufacturing engineering technology), chemistry, physics, mathematics, data science, or computer science
5+ years of experience developing, testing, or production‑hardening automated manufacturing equipment, robotics, or tooling in a lab or production environment.

Job Responsibility

Identify, develop and refine automated process requirements by evaluating new aerospace product designs for structural, rate and quality requirements.
Develop and validate automated manufacturing processes & equipment (e.g. pick and place, lamination, automated fiber placement, green trim, forming, robotic sanding, robotic drilling etc) through machine/cell/end-effector design, architecting of controls & programming, physical and virtual cell commissioning, and system level validation
Demonstrate the manufacturing readiness of these automated processes through lab level trials, manufacturing demonstrations, test article fabrication, and production hardening efforts
Collect, analyze, and summarize experimental data
prepare test reports and present findings to the team
Develop and maintain process documentation, work instructions, and process control plans for production transitions
Support root-cause investigations and corrective actions for material and process related nonconformances
Conduct supplier evaluations and material qualification activities
Follow safety, quality and environmental procedures in the lab and manufacturing areas
Assists in evaluation of emerging technologies for potential application to business needs

What we offer

competitive base pay and variable compensation opportunities
health insurance
flexible spending accounts
health savings accounts
retirement savings plans
life and disability insurance programs
paid and unpaid time away from work
relocation based on candidate eligibility
generous company match to your 401(k)
industry-leading tuition assistance program pays your institution directly

Fulltime

!

New

Operations Manager

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Fallbrook

Salary:

21.90 - 35.90 USD / Hour

CVS Health

Expiration Date

April 18, 2026

Requirements

Deductive reasoning ability
advanced analytical skills
computer skills
advanced communication skills
leadership
supervision
influencing skill
ability to work a full-time flexible schedule, including some early morning, overnight and weekend shifts
ability to work overtime as needed
ability to respond to urgent issues at the store when they arise

Job Responsibility

Overall store management, supervision, and policy implementation
sales and inventory management
employee staffing, training, and development
financial management
customer service leadership
lead others and work effectively with store crews
supervise, assign and direct activities of the store’s crew
effectively communicate information to store crew and supervisors
support Store Manager with actions plans for operational and service improvement
assist customers with their questions, problems and complaints

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
employee stock purchase plan
no-cost wellness screenings
no-cost tobacco cessation programs
no-cost weight management programs
confidential counseling
financial coaching
paid time off
flexible work schedules

Fulltime

Pfs Representative Iii

Tucson Medical Center

Location:
United States , Tucson

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Pfs Representative Iii

Pfs Representative Iii - Denials Specialist

Health insurance and authorization representative iii