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Position Details

Department: PFS - Hospital
Category: Patient Financial Services
Location: Phoenix
Posting #: 420129
Date Posted: 10/24/2018
Employee Type: Regular

Position Summary

This position oversees the collection activity for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.

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. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
    • Contacts all assigned accounts in the work queue daily and provide sound collection follow-up on outstanding insurance balances.
  2. Batches, compiles, submits appeals and monitor accounts for proper reimbursement.
    • Responsible for achieving and maintaining accounts receivable days at the established goal.
  3. Establishes and maintains effective communication with employers, other healthcare providers, insurers, and patients/families to secure accurate and pertinent information to maximize reimbursement.
    • Communicate with internal and external customers by telephone and mail to verify charge accuracy and/or correct account errors.
  4. Monitors and tracks contractual, billing, registration, and posting errors and provides continuous feedback to the department supervisor.
  5. Verifies applicable contract by reviewing EOB messages, reviewing patient ID card, and verifying member information for managed care plans.
  6. Uses good interpersonal skills to promote positive, effective interaction with customers and to promote quality service to ensure flow of information to appropriate staff and professionals.
  7. Provides detailed documentation on the collection system to explain the action taken or promise made. Obtains current information on all accounts and records information as required.
  8. 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. Associate's degree in healthcare, business, or closely related field, or equivalent combination of post-secondary education and experience. Required
Do you meet this requirement?
Experience
1. Two years experience with collection activity and reduction in accounts receivable in a healthcare setting. Required
2. Experience with AHCCCS billing laws and regulations, third-party and managed care payer billing requirements, registration, verification and centralized computer systems. Preferred
3. Experience with medical terminology and HIPPA Preferred
Do you meet this requirement?
Certifications/Licenses/Registries
1. Credentialed Revenue Cycle Representative Preferred
2. Certified Patient Account Representative Preferred
Do you meet this requirement?
Special Skills
1. Effective time management skills and ability to multi-task. Required
2. Strong MS Office skills with a focus on Excel Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Climbing Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Constantly
4. Physical Requirement - Hearing Constantly
5. Physical Requirement - Pushing/pulling Frequently
6. Physical Requirement - Reaching Frequently
7. Physical Requirement - Sitting Constantly
8. Physical Requirement - Standing Frequently
9. Physical Requirement - Stooping/crouching/kneeling/crawling Occasionally
10. Physical Requirement - Talking Constantly
11. Physical Requirement - Walking Constantly
12. Physical Requirement - Near Vision Constantly
13. Physical Requirement - Far Vision Frequently
14. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
15. Physical Requirement - Lift up to 35 pounds without assistance Frequently
16. Physical Requirement - Lift more than 35 pounds without assistance Frequently
17. Occupational Exposure/Risk Potential - Inside office environment Applicable
18. Occupational Exposure/Risk Potential - Confined areas Applicable
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply