PPS Billing & Reimbursement

Overview

Our reimbursement offices are responsible for the integrity, efficiency, and effectiveness of our billing process, to our patients, and their insurance providers. The reimbursement teams are specialized into oxygen, nebulizer, Peak Sleep, and pharmacy billing. The team consists of reimbursement managers, reimbursement supervisors, reimbursement representatives, insurance verification, and reimbursement support.

Locations

We have reimbursement offices located in Bakersfield, California, Brentwood, California, Omaha, Nebraska, and Tempe, Arizona.

Primary Roles

  • Reimbursement Representatives
    Reimbursement representatives are focused on the billing and collection activities for patient accounts. Working closely with the center teams, as well as private insurance carriers and Medicare/Medicaid representatives, each reimbursement representative ensures that our billing practices meet or exceed insurance guidelines, while maintaining a timely submission of claims and bills related to patient accounts.
  • Insurance Verification Representatives
    Insurance verification representatives research each patient's insurance coverage to determine if PPS can provide service to the patient. They also work with centers and reimbursement offices to ensure complete and rapid payment for services.
  • Cash Application Representatives
    Cash application representatives process all adjustments, transfers, and refunds for all reimbursement offices. Cash application representatives are responsible for receiving payments, preparing deposits, and ensuring that payments and electronic remittance advices are posted accurately and on time.
  • Reimbursement Supervisors
    Reimbursement supervisors lead teams of reimbursement representatives, insurance verifiers, and support staff within our reimbursement offices. Supervisors help representatives solve complicated billing issues and work with center teams to resolve any documentation concerns regarding patient claims.
  • Reimbursement Managers
    Reimbursement managers are responsible for the overall operations of our reimbursement offices, managing the billing and collections process for multiple centers across states. Each reimbursement manager works with two to five supervisors and together lead teams of 35 to 60 reimbursement team members.

Read about other careers at PPS

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Chrisie Wagner, Reimbursement Supervisor"I like companies that have values, goals, teamwork - that happens in our office and between the Centers.[ We have] good benefits and pay. The company has integrity and honesty...it's a comfortable feeling to work at PPS."

- Chrisie Wagner, Reimbursement Supervisor, Brentwood, California

 Mindie Batiste, Senior Reimbursement Representative, Omaha, Nebraska"I'm the kind of person who enjoys digging down to the root of a problem and finding the best solution. For example, we recently had an insurer who stopped paying all claims. Our research showed that their address had changed. When we followed up with the insurer we were able to switch to online filing which solved the problem of the unpaid claims and significantly reduced the turnaround time for payment!"

- Mindie Batiste, Senior Reimbursement Representative, Omaha, Nebraska