Senior Representative Patient Account Collect

70 HonorHealth Support Services; Arizona; Hybrid; USD 45,000 - 65,000; Full time

Job summary

HonorHealth is seeking a Billing and Revenue Cycle professional to join the Patient Financial Services team in a virtual Arizona-based role. In this daytime, Monday to Friday position you will collect, reconcile, resolve credit balances, review denials and correspondence, and communicate with patients, insurers and hospital departments while upholding HIPAA and high service standards.

This role requires 5 years of billing experience and a high school diploma; preferred are accounting coursework

Qualifications

• 5 years billing or collections experience preferred.
• 18 months patient accounts experience required.
• 18 months billing, collection or Medicare/Commercial billings - required or preferred.

Responsibilities

• Reconciles complex, multi-payment accounts and determines underpayment or overpayment adjustments.
• Submits appeal letters on underpaid claims as directed.
• Interprets payer contracts to verify payment and PCON adjustments are accurate.
• Reviews EOBs for denials and posts correct adjustments to balance accounts.
• Suggests process improvements and helps develop procedures within the PFS department.

Education

High School Diploma or GED

Other post high school education / accounting courses or medical business office certificate

Job description

Primary City/State: Virtual - Arizona Category: Billing and Revenue Cycle Shift: Day Department: Patient Financial Services Work hours M-F 7a-3:30p.

Great care starts with great people. (Like you.) At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

• Job Summary: This position performs collecting, reconciliation, credit balance resolution, research, correspondence and independent problem solving.
• Reconciles complex, multi-payment accounts.
• Submits appeal letters on underpaid claims as directed.
• Interprets payer contracts to determine if payment and PCON adjustment is accurate.
• Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts.
• Identifies needs for process improvements and creating/enhancing processes in the PFS department.
• Promotes positive teamwork within department and among employees.
• Works with all hospital departments for proper coding and billing procedures.
• Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements.
• Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians' offices and attorneys' offices.

Essential Functions:

• Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction.
• Utilizes technical ability and understanding of applicable insurance contracts and regulations.
• Maintains current knowledge of regulatory billing requirements for specified payors.
• Attends in-services/continued education.
• Interprets data processing reports and applies the information as needed for daily departmental productivity.
• Trains other staff members on reconciliation techniques and other aspects of the position.

Education:

• Other Post high school education, to include, but not limited to accounting courses or medical business office certificate program - Preferred
• High School Diploma or GED - Required

Experience:

• 5 years Billing or collections - Preferred
• 18 months patient accounts experience - Required
• 18 months billing, collection or Medicare/Commercial billings - Required

Licenses and Certifications:

We're all in for your career. Expert care from experts who care. At HonorHealth, you’ll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We’re delivering a healthcare experience that simply feels better through:

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff

Since 1927, we’ve been focused on doing what matters most — caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona’s largest nonprofit healthcare systems, we’re just as driven as we were a century ago. Come join us and go all in for your career.