As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.
This position performs a variety of tasks to coordinate and facilitate all billing activities by following transplant patient accounts through the billing process to payors. This position also oversees patient account data verification to ensure timely and accurate billing, payment tracking, and account follow-up for all transplant-related services.
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 identifies accounts with credit balances, determines the nature of the credit balance and processes the refund or contractual adjustment while also maintaining the integrity of cash and accounts receivable transactions to ensure maximum efficiency and accuracy of accounts receivable balances. This position also inputs adjustment data into patient accounts and ensures that work complies with all cash related procedures and financial control policies set by the finance department.
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.
The position is responsible for supervising the payment posting and refund teams within the central services area. The position is responsible for retrieving, balancing and posting the lockbox payments as well as all the ERA’s for professional and facility payments. The position is also responsible for processing of refunds for professional and facility entities. The position oversees the daily operations of the cash management staff. The position demonstrates excellent customer service and technical skills in Patient Financial Services and management of information, process, workflow and technology. The supervisor serves as a leader within Patient Financial Services with commensurate authority in accordance with organizational policies and procedures.
The CDM Analyst is responsible for oversight and maintenance of the hospital and professional Charge Description Master (CDM) within the Phoenix Children’s Hospital and all subsidiaries. As part of Revenue Integrity Department, the CDM Analyst will collaborate with multiple teams to ensure an efficient CDM maintenance process exists, resulting in clean and compliant claims. This position acts as liaison, problem solver and facilitator for CDM issues with Administration, Insurance Companies, Clinical Departments, Health Information Management, Utilization Management, Managed Care, Corporate Compliance and Revenue Cycle.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts. Completes coding for all accounts on a timely basis within the four day bill hold time frame. This position also follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and meeting department productivity standards.
Under direct supervision of the Manager of Professional Services, performs functions as both coding auditor and educator and is responsible for providing oversight on education and audits of medical records for compliance with federal coding regulation and guidelines. This position is responsible for the coordination of auditing and education in support of achieving organizational strategic initiatives. The position has a shared responsibility to assist in achieving teams goals. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position also assists with coding production as needed; reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvements related to coding and EM management.
Under direct supervision of the Manager of Professional Services, performs functions as both coding auditor and educator and is responsible for providing oversight on education and audits of medical records for compliance with federal coding regulation and guidelines. This position is responsible for the coordination of auditing and education in support of achieving organizational strategic initiatives. The position has a shared responsibility to assist in achieving teams goals. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position also assists with coding production as needed; reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvements related to coding and EM management.
This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
Ensures the efficient and orderly pre-registration, registration, insurance verification and
authorization for facility-based procedures. Prepares admission forms, obtains necessary documentation and
signatures, and confirms demographic information when the guarantor presents for services. This position is responsible for partnering with families and End Stage Renal Disease (ESRD) facility personnel to ensure coordinated admissions, discharges, and ensures that patient clinic visits are scheduled according to facility policies and regulatory guidelines. This position monitors payor status, Medicare applications and Medicare Secondary Payor status. This position works collaboratively with the quality team to maintain patient lists and statistics. Responsibilities include a variety of administrative and customer service functions to support the apheresis and dialysis facilities.
The Medical Laboratory Scientist II performs and interprets standard, complex and specialized laboratory tests. The MLS II has an understanding of the underlying scientific principles of laboratory testing as well as the technical, procedural, and problem-solving aspects. The MLS II correlates abnormal laboratory data with pathologic states, determines validity of test results and need for additional investigation. The MLS II has an understanding of quality control programs, and evaluates computer-generated data and troubleshoots problems. The MLS II is able to participate in the introduction, investigation and implementation of new procedures and in the evaluation of new instruments. The MLS II understands and enforces regulatory requirements and safety regulations. This position receives supervision of completed work activities from the supervisor.
The Network Quality Performance Coordinator (NQPC) is responsible for activities involving quality measures and compliance with applicable regulatory and contractual requirements. The goal of the NQPC is to work collaboratively with multiple health care professionals, patients, and families, and key internal stakeholders to identify and assist with closing gaps in care. The NQPC`s focus is in increasing quality metric compliance for our patient population, contracted providers, and associated health insurance plans. The NQPC will Identify patient barriers that prevent gap closure, such as transportation, language barriers, health literacy, etc. and work with internal and external stakeholders to remove these barriers, resulting in gap closure. The NQPC will be primarily focused on connecting with patients and practices that who have gaps-in-care related to PCCN’s contractual quality metrics. The NQPC will work with PCCN`s operational and clincal teams to achieve excellent performance, meaningful outputs, and adherence to compliance objectives. Network Quality Performance Coordinators are excellent problem-solvers who show initiative. They are highly organized and efficient, allowing them to work on multiple goals simultaneously and meet and exceed productivity benchmarks.
Posting Note: This is a technical role and requires use of multiple IT applications. Experience working with IT databases is highly preferred.
One of the goals of a Clinically Integrated Network is to assist in managing care, cost, and outcomes across the continuum of care. The Sr. Population Health Business Analyst supports the Clinically Integrated Networks Disease Management, Utilization Management, Case Management and Population Health initiatives. This position with little or no supervision, develops and executes test scripts, configures applications, documents current workflows to understand system impacts, suggests new workflows to support the system and reporting, creates reports utilizing requirements, creates dashboards from the reporting requirements, creates system training documentation for end users, researches clinical data issues to determine root cause and document findings, and lastly will lead the training of new Population Health Business Analysts. This position will directly report to the Manager, Population Health and will work collaboratively with the PCCN Teams, IT, and external vendors.
This position monitors payer trends, trends in accounts receivable, denials, and unpaid claims and reviews information from both payer and division level. This position also provides feedback to management on trends related to coding, scheduling, registration, cash collections, charge-posting, and authorization issues.