Description

Neighborhood Outreach Access to Health (NOAH) is looking for talented healthcare team members to step into our culturally diverse health centers! From Scottsdale to Glendale, NOAH provides affordable, high-quality healthcare services. Serving over 40,000 neighbors, our model of care places patients' needs at the center of attention as we deliver comprehensive health services including medical, dental, behavioral health, nutrition, prenatal care, preventive health, eligibility assistance and health education programs.

Job Summary:

The Revenue Cycle Specialist II will compute, bill, post, and collect patient accounts and perform other duties as required.

Duties/Responsibilities:

• Serves as a liaison for the providers of health care services, patients or other responsible persons, and revenue sources to ensure the accuracy of charges.
• Answers phones and provides exceptional customer service to each caller and works to resolve the issues timely and provides follow-up with patients as needed.
• Maintains records of transactions and account resolutions.
• Verifies health care charges against established rates for diagnosis, treatment, services, and supplies. Maintain patient accounts using practice management software that uses codes to facilitate reimbursement from payors. Establishes patient responsibility to permit prompt collection of patient responsibility.
• Collects medical and patient data such as diagnosis, treatment and insurance verification. Submits claims to a variety of payment sources including but not limited to Medicare, Medicaid and commercial payors. Prepares correspondence for collection of accounts.
• Coordinates and processes all departmental faxes and internal and external mail coming into the department.
• Resolves claim edits and submits claim corrections to insure timely and accurate reimbursement.
• Works denial reports and aging A/R reports as directed by Supervisor/Manager.
• Resolve credit balances and submits for refund requests as appropriate.
• Prepares correspondence for collection of accounts; submits final letters to delinquent accounts; conducts collections calls to collect past due balances.
• Submits appeal letters on unpaid and underpaid claims.
• Participates in accounts receivable collections projects as needed to meet department goals.
• Sets up payment plans for patients.
• Processes payments and correspondence received in the central business office; processes EFT/ERA, lockbox, mail, POS, and phone payments.
• Performs daily batch reconciliation.
• Maintains communication with patients and payors until accounts are paid or otherwise resolved.
• Attends and/or participate in meetings, trainings, community outreach activities, continuing education opportunities, and other activities as required.
• Assists in training staff as directed by Supervisor/Manager.
• Performs other related duties as assigned.

Benefits are available for both full-time and part-time employees!

Benefits include:

• Medical Coverage
• Prescription Drug Coverage
• Dental Coverage
• Vision Plans
• Tuition Reimbursement Program
• Paid Time Off (PTO)
• Paid Holidays
• Retirement 403(b) plus company match
• Pet Insurance

NOAH requires all new hires to have received the first dose of a COVID-19 vaccine before their start date and be scheduled for their second dose. New hires who choose to receive the Johnson & Johnson vaccine only need one dose to fulfill this requirement. Reasonable accommodations will be considered.

Qualifications

Required Skills/Knowledge/Abilities: 

• Knowledge of medical terminology used in billing and basic math.
• Ability to elicit and evaluate information, sometimes of a highly personal and sensitive nature, from a broad spectrum of individuals and agencies.
• Ability to maintain confidentiality (HIPPA).
• Ability to read, interpret, and apply regulations, policies, and procedures.
• Ability to work with minimal supervision and with extensive detail, and to prepare written correspondence using correct grammar, punctuation, and spelling.
• Ability to collaborate across departments functions and well with others for positive outcomes.
• Ability to navigate practice management software and Microsoft applications (Word, Excel) proficiently. Ability to use 10-key device.
• Ability to organize work and set priorities to meet deadlines.
• Excellent communication and organizational skills.
• Ability to train staff.
• Ability to coordinate functions and work cooperatively with others.
• Working knowledge of ICD-10, CPT and HCPCs codes and modifiers used in medical billing.

Education and Experience:

Required:

• High School Diploma or GED.
• 1 years of healthcare billing and/or collections experience.

Preferred: 

• FQHC experience strongly.

Other Requirements:

• New Hires are required to pass pre-employment background check and drug testing (effective 11/1/2022).