PFS Specialist II (Back End)

PFS Specialist - Insurance Collections (Remote, PST Hours)

Location: Fully Remote (Must work PST hours)
Pay: $26-$28/hr (higher end for lab collections & Xifin experience)
Schedule: 8-hour shift, starting between 6:00 AM - 8:00 AM PST
Duration: Contract (720 hours) with potential for permanent hire
Start Date: ASAP

About the Role:

We're seeking a PFS Specialist with a strong background in insurance collections to join our growing team. In this role, you'll work with Medicare, Cigna, Humana, and Medicare Advantage payers, handling denials, appeals, and aged A/R to maximize cash collections. If you thrive in a metrics-driven environment and have experience pushing back on insurance companies, we want to hear from you!

Key Responsibilities:

• Work through outstanding A/R, including credits and denials, to reduce aging buckets
• Submit corrected claims and appeals based on payer guidelines in a timely manner
• Document account actions per Standard Operating Procedures
• Assist with training and coaching team members to ensure productivity goals are met
• Utilize Excel to track, manage, and analyze claim data
• Collaborate with internal teams to resolve billing errors and discrepancies

What We're Looking For:

• 3+ years of healthcare insurance collections experience (not full-cycle billing)
• Expertise in denials, appeals, and working with commercial & government payers
• Strong Excel skills (Intermediate to Advanced level required - testing required)
• Experience handling high-volume collections (40+ accounts per day)
• Ability to work in a fast-paced, metrics-driven environment with monthly audits
• Medicare experience is required

Nice-to-Have Skills:

• Experience with Xifin and lab billing/collections
• Background working with large payer mixes
• Prior experience in clinical laboratory collections

Why Join Us?

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  Work fully remote with a consistent schedule
  
  
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  Extensive training & ongoing support from leadership
  
  
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  Opportunity for permanent placement in a growing team
  
  
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  Play a key role in optimizing revenue cycle performance
  
  

Interview Process: 2 rounds
Assessment: Excel skills test

Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan
  
  

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.