Collections Specialist

Phoenix Children's; United States; On-site; USD 42,000 - 62,000; Full time

Job summary

Phoenix Children's is seeking a Collections Specialist to manage a segment of the Accounts Receivable and collect payments in compliance with applicable regulations. This role supports the hospital's continued commitment to timely revenue cycle operations.

Responsibilities include billing electronically and manually, reviewing claims, ensuring proper coding and regulatory knowledge, attaching required documentation, and prioritizing work to maximize turnaround time while meeting productivity

Qualifications

• Experience in medical billing or patient financial services preferred.
• Knowledge of accounts receivable and collections processes.
• Familiarity with payer regulations and CMS rules is a plus.

Responsibilities

• Bills both electronically and manually as needed; uses technology to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Updates demographic information to ensure accurate claims.
• Meets productivity standards and ensures accurate daily work.
• Analyzes coding to assure proper billing of claims.
• Attends hospital educational programs to maintain skills.
• Requests and attachments required clinical documentation per third-party requirements.
• Serves accounts in priority, independently billing with understanding of insurance and CMS regulations.
• Performs other related duties as requested.

Job description

Collections Specialist
Department: CORP | Physician Revenue Cycle
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Financial Services
Posting #: 1056312
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