Senior Representative - Patient Account Collect

HonorHealth; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

HonorHealth in Deer Valley (Phoenix, AZ) is hiring a Billing Specialist for the Patient Financial Services department. The role focuses on collecting, reconciling, and resolving credit balances, while reviewing EOBs and posting adjustments to balance accounts.

Expertise in payer contracts and HIPAA compliance is essential. The position requires processing complex multi-payment accounts, submitting appeal letters when underpayments arise, and identifying opportunities to improve PFS processes

Qualifications

• High School Diploma or GED required.
• Post high school education in accounting or medical business office preferred.

Responsibilities

• Collects and reconciles payments and underpayments.
• Reviews EOBs for denials and posts corrected adjustments.
• Interprets payer contracts to verify payment accuracy and PCON adjustments.
• Trains staff on reconciliation techniques and maintains regulatory compliance.

Skills

Billing & Collections

Reconciliation

Analytical thinking

HIPAA compliance

Education

High School Diploma or GED

Post high school education (accounting courses or medical business office certificate)

Job description

Primary City/State: Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027

Category: Billing and Revenue Cycle

Shift: Day

Department: Patient Financial Services

Work Hours are 6:00 am-2:30 pm or 7:00 am-3:30 pm

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

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

EXPERIENCE

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

We're all in for your career.