Revenue Cycle Specialist

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Position Details

Department: CORP | Hospital Revenue Cycle Billing
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Financial Services
Posting #: 870562
Employee Type: Full-Time

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.

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.
    • Communicates 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.

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

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
Do you meet this requirement?
1. Associate`s degree in healthcare, business, or closely related field, OR equivalent work experience.
Required
Experience
Do you meet this requirement?
1. Two (2) years of 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
Certifications / Licenses / Registries
Do you meet this requirement?
1. Credentialed Revenue Cycle Representative
Preferred
2. Certified Patient Account Representative
Preferred
Special Skills
Do you meet this requirement?
1. Effective time management skills and ability to multi-task.
Required
2. Strong MS Office skills with a focus on Excel
Required
3. Follow any payer or governmental requirement as required by the organization.
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
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply