Revenue Cycle Collections Specialist

CommonSpirit Health; Phoenix (AZ); On-site; USD 42,000 - 66,000; Full time

Job summary

Dignity Health Medical Group is seeking a Revenue Cycle Collections Specialist to support financial operations, resolve accounts, and ensure timely collections across payer types. The role requires strong communication, negotiation, and problem-solving skills within a high-volume medical billing environment.

You will document interactions, negotiate payment arrangements, and adhere to established protocols to maintain steady cash flow and compliance with CMS and HIPAA standards.

Qualifications

• Three (3) years physician-billing/collection experience in a high-volume medical healthcare claim environment (including health plan physician claims/reimbursement/appeals).
• AHCCCS/ Medicare/government Commercial payer experience.
• CMS-1500 and 837P billing experience.
• Experience with EMR and Practice Management Systems, including Google.
• Knowledge of CPT/HCPCS/ICD-10 codes.
• Typing speed of 65 wpm and 225 kpm (10 key).
• Knowledge of collection guidelines and regulations.
• Excellent problem solving and communication skills.
• Ability to effectively interact with internal and external customers.
• Ability to prioritize tasks and read and interpret complex contract language.

Responsibilities

• Maintains Quality and Productivity at a rate established by PE RCM leadership for the Fiscal Year goal.
• Performs follow up on outstanding accounts, prioritizing high dollar and aging accounts, and documents actions taken to resolve the claim in the practice management system (PMS).
• Understands payer guidelines regarding reconsiderations, corrected claims and appeals and works denials accordingly to maintain consistent cash flow.
• Works correspondence and/or medical record requests in a timely manner in accordance with payer deadlines.
• Demonstrates knowledge and use of the PMS, EMR, and related portals; uses office equipment effectively.
• Performs assignments independently, prioritizes workloads, identifies denial trends and shares them with leadership.
• Follows the department chain of command: supervisors, manager, director; uses leads for questions.
• Maintains current knowledge of billing including: CMS-1500, HIPAA, 837 Transactions, etc.
• Maintains attendance according to departmental policies and participates in meetings.

Skills

Communication skills

Negotiation

Problem solving

Task prioritization

Typing speed 65 wpm

Education

High School Diploma or GED

Tools

Practice Management System (PMS)

Electronic Medical Records (EMR)

Google

Job description

Job Summary and Responsibilities

As a Revenue Cycle Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization.

Every day you will expertly communicate with clients to resolve outstanding balances, meticulously document interactions, negotiate payment arrangements, and diligently follow established protocols to ensure timely and effective collection efforts.

To be successful, you will demonstrate outstanding communication skills, strong negotiation abilities, and a persistent, empathetic demeanor, contributing to positive client relationships and efficient revenue recovery.

• Maintains Quality and Productivity at a rate established by PE RCM leadership for the Fiscal Year goal.
• Performs follow up on any outstanding accounts, prioritizing high dollar and aging accounts, and documents actions taken to resolve the claim in the practice management system (PMS).
• Understands payer guidelines regarding reconsiderations, corrected claims and appeals and works denials accordingly to maintain consistent cash flow.
• Works correspondence and/or medical record requests in a timely manner in accordance with payer deadlines.
• Demonstrates knowledge and use of the Practice Management System (PMS), Electronic Medical Records system (EMR), and all other related facility and payer portals/websites. Displays competency in the use of departmental equipment; e.g., telephones, computers, facsimile, printers, timekeeping systems, etc.
• Performs assignments independently, consistently prioritizes workloads, identifies denial trends and shares them with leadership.
• Follows the department chain of command: supervisors, manager, director. Utilizes leads for basic questions regarding workflow, payer questions, etc.
• Maintains current knowledge of billing including: CMS-1500, HIPAA, 837 Transactions, etc.
• Maintains attendance according to the departmental policies and attends PE RCM department/unit meetings.

Job Requirements

MINIMUM

• High School Diploma or GED
• Three (3) years physician-billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/reimbursement/appeals experience)
• AHCCCS/ Medicare/government Commercial payer experience
• CMS -1500 and 837P billing experience
• Experience with EMR and Practice Management Systems, including Google
• Knowledge of insurance plan intricacies
• Current knowledge of CPT/HCPCS/ICD-10 codes
• Typing speed of 65 wpm and 225 kpm (10 key)
• Knowledge of collection guidelines and regulations
• Excellent problem solving and communication skills
• Ability to effectively interact with internal and external customers
• Ability to prioritize tasks and read and interpret complex contract language
• Effective verbal and written communication skills
• Proficient in the use of office equipment; e.g., telephone system, computer, fax machine, copier, printer

PREFERRED

• Professional Biller Certification through AAPC
• Two (2) relevant college education
• Bilingual in Spanish

Where You'll Work

Hello Humankindness

Where Your Passion Meets Purpose: Join Dignity Health Medical Group

Are you a healthcare professional who believes that every patient deserves not just treatment, but unwavering compassion? Do you envision a world where healthcare isn't just a service, but a fundamental right, delivered with integrity and innovation? If so, then Dignity Health Medical Group (DHMG) is where your career finds its true calling.

At Dignity Health Medical Group, you're not just filling a role; you're becoming an architect of healthier communities. We are the employed physician group of Dignity Health Arizona, and our success isn't just measured in numbers, but in the lives we touch and the advancements we champion.

Here's what sets us apart and why you belong with us:

• Impact that Resonates: You'll be part of a team delivering comprehensive clinical services, making a tangible difference in the lives of countless individuals. From cutting-edge diagnostics to life-changing treatments, your expertise will directly contribute to improved health outcomes.
• A Culture of Growth and Innovation: We don't just practice medicine; we advance it.
• Shaping the Future of Healthcare: DHMG is deeply invested in preparing tomorrow's healthcare providers. We seamlessly blend clinical services with translational and bench research, creating a dynamic environment that augments medical education for residents and students.
• Values-Driven Mission: We are united by a powerful set of principles. If you are deeply committed to social justice, health equity, and are prepared to deliver care in new, innovative ways, your values align perfectly with ours. We believe that everyone, regardless of background, deserves access to high-quality healthcare, and we actively work to make that a reality.
• A Supportive and Collaborative Environment: We believe in building a strong, inclusive team where everyone feels valued and respected.

Are you ready to transcend the ordinary and join a healthcare family where your skills are celebrated, your voice is heard, and your passion for healing finds its ultimate expression?

If you're eager to contribute to an organization that is making a profound difference, where innovation meets compassion, and where your commitment to social justice and health equity will be not just welcomed, but celebrated - then Dignity Health Medical Group is waiting for you.