Revenue Cycle Specialist II: Billing & Collections

teamselecthh; Phoenix (AZ); On-site; USD 23,000 - 33,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Paid Time Off and Paid Sick Time

401(k)

Referral Program

Job summary

Team Select Home Care is seeking a Revenue Cycle Specialist II in Phoenix, AZ to manage the billing lifecycle, from submitting claims to following up on denials and appeals. You will coordinate with the Accounts Receivable Manager and collaborate with billing, authorizations, and clinical teams to resolve issues and improve cash flow.

The ideal candidate has at least two years of health-related AR experience, strong communication skills, and proficiency with EMR systems and billing software.

Qualifications

• Graduate of accredited high school or GED.
• Minimum two years' experience in health-related accounts receivable and collections.

Responsibilities

• Monitor held billing and coordinate resolution of related issues to ensure timely claim submission.
• Review, research, and correct claims that fail payer edits; update payer information and resubmit claims within the EMR system as needed.
• Understand and actively follow up on outstanding accounts receivable to minimize aging.
• Work all assigned and denied claims promptly and accurately.
• Assist in preparing and submitting appeals and reconsiderations to payers.
• Collaborate with internal teams (billing, authorizations, clinical, etc.) to resolve billing and collections issues.
• Communicate with payers to obtain claim status and resolve outstanding balances.
• Maintain accurate documentation of collection activities and provide updates and reports on collection efforts as requested.
• Assist with special projects, audits, or process improvement initiatives as assigned.
• Identifies trends related to denials/coding and delinquent claims and communicate effectively with client manager for feedback to the client.
• Identifies system/payer issues such as rates, codes, set up and coordinate accordingly.
• Reports status of accounts and issues to appropriate supervisors and departments – always maintains full transparency of accounts.
• Follows requirements through the full cycle until accounts are satisfied, including patient collections and appeals.
• Documents, processes and coordinates all write offs and adjustments as needed.
• Works with contracting team and management to resolve payer issues.
• Works with branches for all questions on accounts.
• Attends regular meetings with teams and management to ensure open communication.
• Perform other duties as assigned

Skills

Verbal communication

Written communication

Computer skills

Interpersonal communication

Organization

Problem solving

Time management

Collaboration

Collections

Adaptability

Project management

Customer interaction

Education

High school diploma or GED

Tools

EMR system

Billing software

Job description

Team Select Home Care is seeking a Revenue Cycle Specialist II in Phoenix, AZ to manage the billing lifecycle, from submitting claims to following up on denials and appeals. You will coordinate with the Accounts Receivable Manager and collaborate with billing, authorizations, and clinical teams to resolve issues and improve cash flow.

The ideal candidate has at least two years of health-related AR experience, strong communication skills, and proficiency with EMR systems and billing software.