Senior Revenue Cycle Specialist

Position Details

Department: PCH-MAIN | Hospital Revenue Cycle Billing
Category: Patient Financial Services
Location: Phoenix
Employee Type: Regular
Posting #: 539914
Posted On: 12/10/2020

Position Summary

This position oversees the collection activity for an assigned segment of the Accounts Receivable and supports the department supervisor by assisting co-workers with problem accounts and provides training as needed. Position is also responsible for monitoring payer trends, trends in accounts receivable and denials.

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.
  2. Batches, compiles, submits appeals and monitor accounts for proper reimbursement.
  3. Establishes and maintains effective communication with employers, other healthcare providers, insurers, and patients/families to secure accurate and pertinent information to maximize reimbursement.
  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. Reviews reports to identify delays, negative trends, and process slippages on assigned projects. Determines sources of problems and corrective actions required. Provides guidance to team members to help resolve problems.
  9. Works closely with the supervisor to gather, analyze, summarize, and prepare recommendations of financial plans, trends, and operating forecasts.
  10. Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
The position has been closed or filled.

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