This position is responsible for daily activities associated with escalated patient billing disputes and concerns. Coordinates with internal departments, guarantors, vendors, bad debt agencies and payors for both provider and facility charges. This includes monitoring potential system issues, trends in collections and billing processes, facilitating knowledge building with front end staff and assisting them with questions associated with patient billing. Identifies billing errors, trends and facilitates correct billing to patients. Communication is by phone (answering inbound lines and returning calls), email, mail, fax and referral from internal departments and vendors
This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.
This position maintains the integrity of cash and A/R transactions to ensure maximum efficiency and accuracy of accounts receivable balances. This position also inputs payment and adjustment data into patient accounts, processes electronic remittances, and maintains petty cash and ensures that work is in compliance with all cash related procedures and financial control policies set by the finance department.
This position is responsible for oversight and maintenance of Charge Description Master (CDM) within the Phoenix Childrens Hospital and all subsidiaries. As part of Revenue Integrity Department, the CDM Coordinator will work with Revenue Cycle to ensure an efficient front-end CDM process, resulting in clean and compliant claims. Acts as liaison, problem solver and facilitator for CDM issues with Administration, Insurance Companies, Charge Capture Departments (charge reconciliation), Health Information Management, Utilization Management, Managed Care, Corporate Compliance and Revenue Cycle.
This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
This position works with patient families to educate them on applicable insurance benefits and payment options for out of pocket amounts due. For uninsured and underinsured patients, the Family Financial Services Counselor works with the family to assist them in obtaining 3rd party covered through government and/or commercial plans and also walks them through the PCH financial assistance application process. This position provides a customer service friendly approach that is coordinated with the patient's care team in order to ensure that the family has a full understanding of liability, coverage and coverage options, and payment options.
This position is responsible for conducting regular analysis of payments received from contracted payers, making quantitative comparisons to determine if the appropriate reimbursement was received, monitoring contractual allowances, and analyzing and pursuing appeal opportunities with contracted payers and reporting variance/appeals performance.
This position will monitor and oversee the Accounts Receivables daily functions of the Physician Revenue Cycle department to include, but not limited to, its staff and equipment need. This position also acts as a liaison between management and employees with concerns, issues, and feedback, including ensuring compliance with hospital and departmental policies.