Job Title: Patient Financial Services (PFS) Account Representative

Industry: Healthcare Revenue Cycle / Patient Financial Services

Location: Chicago, IL

Assignment Type: Contract-to-Hire

Pay: $24.00 - $26.00 per hour

Work Schedule: Full-Time, Monday-Friday, 7:30 AM - 4:00 PM (some flexibility available)

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About The Company:

Our client is a respected healthcare organization focused on delivering high-quality patient care and operational excellence. They offer a collaborative environment, supportive leadership, and opportunities for long-term career growth.

Job Description:

We are seeking an experienced Patient Financial Services (PFS) Account Representative to support hospital revenue cycle operations. This role is responsible for managing patient accounts, resolving complex billing and reimbursement issues, and working closely with insurance carriers and internal teams to ensure timely and accurate payment of claims. The ideal candidate will have strong hospital billing experience and a proven ability to navigate complex reimbursement scenarios.

Key Responsibilities:

• Review, manage, and resolve hospital billing accounts to secure proper reimbursement.

• Research and resolve denied, underpaid, or delayed claims while identifying root causes and corrective actions.

• Verify and update insurance coverage, patient demographics, eligibility information, and authorizations.

• Address claim edits, rejections, and billing exceptions through payer portals, clearinghouses, and billing systems.

• Communicate with insurance carriers regarding claim status, payment issues, and documentation requests.

• Partner with internal departments to resolve coding, documentation, and claim submission issues.

• Process account adjustments, payment reallocations, and refund requests.

• Maintain productivity goals while managing a high-volume inventory of accounts.

• Ensure claims meet filing deadlines and payer-specific requirements.

• Support additional revenue cycle projects and responsibilities as needed.

Qualifications:

• High School Diploma or equivalent required.

• Experience with Hospital Billing (HB) and account follow-up required.

• Previous Epic experience or experience with a similar healthcare billing platform required.

• Knowledge of Commercial and Medicaid payers.

• Experience handling denials, appeals, underpayments, coordination of benefits, and complex claim resolution.

• Ability to meet productivity metrics in a fast-paced environment.

• Strong analytical, communication, and problem-solving skills.

• Excellent attention to detail and organizational abilities.

Additional Details:

• Fully onsite during the training period, with the potential to transition to a hybrid schedule after demonstrating independent performance.

• Business casual dress code.

• Accessible via public transportation.

• One-step virtual interview process.

Perks:

• Competitive hourly pay.

• Contract-to-hire opportunity.

• Supportive leadership team.

• Hybrid work flexibility after training.

• Professional growth within healthcare revenue cycle operations.

• Exposure to complex claims, denials, appeals, and reimbursement processes.

• Convenient downtown Chicago location.

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

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