Credit Resolution Specialist III

PHI Health, LLC; Tempe (AZ); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Sign-on bonus up to $7,500

Job summary

PHI Health in Phoenix, AZ is seeking a detail-oriented medical billing specialist to research credit balances, verify contractual allowances, and communicate with payers and patients. You will review postings, prepare refund packets, and ensure accurate postings in a fast-paced environment.

Must have 5+ years in medical billing/collections, proficiency in Microsoft Office and medical billing software, and the ability to multi-task with strong data analysis.

Qualifications

• High school diploma or GED required.
• Minimum 5 years in medical billing/collections with increasing responsibilities.
• Proficiency in Microsoft Word, Excel and medical billing software.
• Detail oriented with ability to multi-task; strong data/payment posting background.

Responsibilities

• Research credit balance accounts to determine proper balance and notify payers.
• Review contractual and allowable adjustments for accuracy.
• Follow up with payers and patients for addresses and payees.
• Prepare refund packets and call insurance companies regarding refunds.
• Review postings for accuracy and prepare refund spreadsheets for review.

Skills

Attention to detail

Multi-tasking

Data analysis

Payment processing

Education

High school diploma or GED

Some college preferred

Tools

Microsoft Office

Medical billing software

Job description

Join our life-saving team in Phoenix, AZ and take advantage of:Sign-on bonus up to $7,500!This offer won’t last long! Apply today!Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe.With PHI Health you’ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.Who We Are:PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period.Job Summary:Research credit balance accounts to determine proper balance and credit notification to payers.Research and review of proper contractual and allowable adjustments.Follow up with payers and patients for proper address and payee addresses.Prepare refund packets to payers and patients.Call insurance companies regarding refund requests with the ability to obtain additional information.Review accounts for proper posting of payments.Prepare approved refund spreadsheet for executive review and approval.Call patients and/or estates to determine proper refund address and verification.Schedule/Location:5 & 2Phoenix, AZThe Successful Candidate Will Have:Must have completed high school diploma (or GED equivalent) and have a minimum of 5 years of previous experience in medical billing/collections with a progressive increase in complexity and responsibilitiesMust have knowledge of general office procedures using office equipmentMust have PC skills and demonstrated proficiency in Microsoft Office Word, Excel and medical billing softwareMust have prior experience with email and using the internetKnowledge in (experienced preferred) data analysis and or payment processing.Detail oriented with the ability to multi-task.Proficient in understanding accounts receivable and or have an extensive background in payment posting.Some college preferredMust be able to pass a pre-placement drug test and background screenThis position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.Our Core Competencies:Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.Service. We are dedicated to the service of our customers, our communities and each other.Behavioral Competencies:Team Player - Effective performers are team oriented. They identify with the larger organizational team and their role within it. They share resources, respond to requests from other parts of the organization and support larger legitimate organizational agendas as more important than local or personal goals.Positive Impact - Effective performers make positive impressions on those around them. They are personable, self-confident and generally likable. They are optimistic and enthusiastic about what they do, and their excitement is contagious. They energize those around them.Mission Focus - Effective performers understand and support the organization's mission - its core purpose for being. They believe in the mission, value it and are committed to it. They communicate it to staff, stand behind it and interpret its applications for others. They frequently refer to the mission and incorporate it into daily activities.Conflict Management - Effective performers recognize that conflict can be a valuable part of the decision-making process. They are comfortable with healthy conflict, and they support and manage differences of opinion. They thwart destructive competition or friction and use consensus to debate and resolve issues.Problem Solving & Decision Making - Effective performers are able to identify problems, solve them, act decisively and show good judgment. They isolate causes from symptoms, and compile information and alternatives to illuminate problems or issues. They involve others as appropriate and gather information from a variety of sources. They find a balance between studying the problem and solving it. They readily commit to action and make decisions that reflect sound judgment.The PHI Health AdvantageFor more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country.Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry.DISCLAIMERThe above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws