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Position Details

Department: HRC Customer Service
Category: Patient Financial Services
Location: Phoenix
Posting #: 402303
Date Posted: 7/19/2018
Employee Type: Regular

Position Summary

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

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Participates in relationship management activities with guarantors, vendors and internal departments. Ability to communicate clearly to identify issues and concerns - using active listening to understand the root cause. Investigates, through coordination with other areas involved in the scheduling of services, providing the services, coding, processing the claim and final billing. Makes recommendations for any adjustments to outstanding bills and upon approval submits for processing. Communicates findings to internal areas and/or to the guarantor directly - communication is on incoming/outgoing phone lines, email, fax, mail and occasionally in person.
  2. Promptly acts on escalated issues – identifies, investigates and coordinates any billing corrections. Communicates with early out vendor, bad debt vendor, legal representatives, risk management and guarantor as appropriate. Identifies process and service issues and communicates with Management to support process improvements.
  3. Monitors billing transactions to help ensure the integrity and accuracy of the revenue cycle. Reconciles patient accounts ensuring accuracy and ease of understanding for guarantor or authorized third party. Communicates with and educates responsible party on nature of billing and options for payment, including types of payment, payment plan, financial assistance processing and prompt pay options. (Processes financial assistance applications, prompt pay discounts, payment plan agreements, bankruptcy notifications, insurance updates, requests for itemized bills, etc.) Completes reconciliation of accounts assigned to vendors.
  4. Meets or exceeds timeliness and accuracy expectations on a daily basis.
  5. Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
  6. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. High School Diploma or equivalent. Required
Do you meet this requirement?
Experience
1. 2 years of experience health care insurance billing or related field - including a minimum of 1 year of customer service and/or collection related experience. Required
2. Knowledge of Misys, AMPFM and Chart Maxx. Preferred
Do you meet this requirement?
Special Skills
1. Demonstrated problem identification and resolution skills - strong attention to detail. Required
2. Demonstrated strong verbal and written communication and listening skills. Required
3. Ability to learn and understand multiple systems. Required
4. Strong Math skills. Required
5. Ability to prioritize and excel under pressure and tight timeliness. Required
6. Demonstrated Flexibility. Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Hearing Constantly
2. Physical Requirement - Pushing/pulling Occasionally
3. Physical Requirement - Reaching Occasionally
4. Physical Requirement - Sitting Constantly
5. Physical Requirement - Standing Occasionally
6. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
7. Physical Requirement - Talking Constantly
8. Physical Requirement - Walking Occasionally
9. Physical Requirement - Near Vision Constantly
10. Physical Requirement - Far Vision Frequently
11. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
12. Physical Requirement - Lift up to 35 pounds without assistance Occasionally
13. Occupational Exposure/Risk Potential - Inside office environment Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply