Billing & Collections Specialist

Hospice of the Valley; Phoenix (AZ); On-site; USD 52,000 - 66,000; Full time

Benefits offered by this job

Competitive pay and benefits

Generous PTO

Flexible scheduling

Job summary

Hospice of the Valley is seeking a healthcare Billing Specialist to manage billing and collection activities across its programs. The role involves EMR-based pre-billing reviews, submitting claims, and tracking payer adjudication to ensure prompt reimbursement.

The ideal candidate has at least three years in healthcare billing, with knowledge of Medicare/MediCare Advantage, AHCCCS and commercial insurance, and strong communication and data-entry skills.

Qualifications

• Minimum three years of healthcare billing and collections experience.
• Knowledge of Medicare, Medicare Advantage, commercial insurance and AHCCCS billing.
• Strong interpersonal, verbal and written communication skills.

Responsibilities

• Bill assigned payers and programs and complete pre-billing review.
• Submit and follow claims through the clearinghouse to payer adjudication.
• Monitor accounts receivable aging and follow up with payers and patients.
• Post payments and adjustments when applicable and maintain A/R documentation.
• Provide responsive service to internal and external customers.

Skills

Billing and collections

Medicare/Medicaid billing

Communication skills

Attention to detail

Time management

Tools

EMR system

Job description

Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977.

Hospice of the Valley is a national leader in hospice care and has been serving thePhoenixmetropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork, and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.

• Supportive work environment with a culture of caring for patients and one another.
• Competitive wages and excellent benefit program.
• Generous Paid Time Off.
• Flexible schedules for work/life balance

Position Profile

Responsible for billing and collection activities for Hospice of the Valley and its subsidiaries across all programs. Completes pre-billing review and documentation in the EMR; prepares, submits, and follows claims through the clearinghouse to payer adjudication; and performs post-billing tasks to support accurate, timely reimbursement. Monitors accounts receivable aging, completes proactive follow-up with payers and patients/families, processes adjustments, and maintains current A/R documentation and collection status in the EMR; may also post payments and adjustments when applicable.

Key Responsibilities

• Performs preliminary work in preparation for billing.
• Bills assigned payers and programs.
• Ensures timely follow-up and collection of outstanding accounts receivable for assigned payers.
• Maintains accurate accounts receivable documentation and data within the EMR.
• Provides responsive, professional service to internal and external customers.
• Ensures accurate posting of Medicare, Medicare Advantage, commercial insurance and self pay payments and adjustments to patient accounts.
• Maintains and enhances professional skills.
• Adheres to high standards of personal and professional conduct.

Minimum Qualifications

• Minimum three years of healthcare billing and collections experience.
• Knowledge of Medicare, Medicare Advantage, commercial and AHCCCS insurance and billing regulations and guidelines.
• Strong interpersonal, verbal and written communication skills.
• Ability to influence/persuade and gain commitment from others.
• Professional image, enthusiastic attitude and self-motivated work ethic.
• Strong math and data entry skills, including 10-key by touch.
• Ability to identify and resolve problems in a timely manner.
• Ability to gather and analyze information skillfully.
• Ability to manage time well, meet deadlines and perform assigned duties with attention to detail, speed, accuracy, and follow-through.
• Ability to work independently with minimal supervision; self-starter.
• Ability to deal with personal and confidential information in a professional manner.

Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V