Collections Specialist

Phoenix Children's Hospital, Inc.; Phoenix (AZ); Remote; USD 40,000 - 56,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking an Accounts Receivable Collector to manage assigned AR segments and perform patient billing collections in a compliant, timely manner.

This remote role supports patients and payers from home. The position emphasizes accurate billing, adherence to CMS and payer requirements, and strong collaboration with hospital departments to maximize cash flow and reduce days in A/R.

Qualifications

• High School diploma or equivalent.
• Two years of AR collection experience in healthcare.
• Follow payer/government requirements as required by the organization.

Responsibilities

• Bills electronically and manually as needed, using all technology available to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information as necessary to produce a clean claim.
• Meets or exceeds productivity standards in daily assignments and production.
• Analyzes coding to assure proper billing of claims.
• Participates in hospital educational programs to maintain skills and competency.
• Requests and attaches required clinical documentation per third party requirements.
• Services accounts in priority of importance, independently billing accounts with understanding of insurance and CMS regulations.

Skills

Collections

A/R reduction

Education

High School diploma

Job description

Location: Telecommuting

Shift: Mon-Fri, Days, 8am-5pm

Posting #: 1067201

Employee Type: Full-Time

Position Summary

This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.

Position Duties

• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information as necessary in order to produce a clean claim.
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
• Analyzes coding to assure proper billing of claim.
• Participates in a variety of hospital educational programs to maintain current skill and competency levels.
• Requests and attaches required clinical documentation in accordance with third party requirements.
• Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximized turnaround time.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. High School diploma or equivalent

Required Yes No

Experience

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. Two (2) years of experience with collection activity and reduction in A/R within a health care setting.

Required Yes No

Special Skills

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. Follow any payer or governmental requirement as required by the organization.

Required Yes No

Physical Requirements & Occupational Exposure/Risk Potential

• Physical Requirement - Hearing - Constantly
• Physical Requirement - Reaching - Occasionally
• Physical Requirement - Sitting - Constantly
• Physical Requirement - Standing - Occasionally
• Physical Requirement - Talking - Constantly
• Physical Requirement - Walking - Occasionally
• Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
• Physical Requirement - Lift up to 35 pounds without assistance - Occasionally

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree