Patient Account Representative II - Patient Billing Services

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Great care starts with great people. (Like you.)

At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

Job Summary
Responsible for all or part of the following: billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization, and a host of other duties to assure timely reimbursement to the medical provider. Demonstrates independent problem-solving skills of account error necessary to bring the account balance to zero within established time frames.
Essential Functions

• Responsible for research and secure payment for insurance accounts:
  Follow up required daily accounts based on work queue assignment to reduce the A/R
  Submit appeal letters on unpaid and underpaid claims
  Participate in accounts receivable collections projects as needed to meet department goals
  Contact insurance companies to follow up on denials and correspondence
  Contact patients regarding insurance related issues
  Research recoups and repayments to assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologies
  Work the electronic denial file (835b) to ensure clean claim submission
  Review Charge review work queues as assigned
• Responsible for research and secure payment for patient balances:
  Follow up required daily accounts based on account work queue assignment to reduce the cash pays A/R
  Submit final letters to delinquent accounts
  Answer incoming patient calls
  Provide support to the clinics as needed during patient care hours
  Collection calls to patients to collect past due balances
  Process credit card payments and post within the patient billing system
  Set up payment plans for patients
  Review statements to ensure accuracy
  Acts as a liaison between patient, practice and insurance carrier regarding complaints and problems
  Work with statement and bad debt vendors on disputes and ensure accuracy of accounts
  Work return mail to update accounts to ensure accuracy
• Performs routine data entry and/or review of claim edit work queues:
  Input charges for physician billing
  Correct denials that have dropped to the claim edit work queues timely
  Maintains current knowledge of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectations
  Process the electronic claims batch daily and initiate the printing of paper claims
  Review Charge review work queues as assigned
• Handles all payments and correspondence received in the central business office
  Processes all EFT/ERA, lockbox, mail, POS, phone payments.
  Processes credit cards
  Creates payment batches and scans all correspondence into patient billing system
  Processes deposits for all incoming payment, including POS from multiple clinics
  Sets up courier service for new clinics
  Posts payments and denials into patient billing system
  Processes ERA payments and works error work queue
  Performs daily batch reconciliation
  Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments
• Follows departmental functions:
  Prioritize work to minimize interruptions and increase efficiency in collections process
  Participate in daily DMS huddle, and all department meetings
  Provide five-star customer service, to include patients, coworkers, vendors and management
  Establish and maintain and efficient filing system
  Maintain clean and organized work area
  Communicates and engages effectively with others
  Communicates and participates in training classes as needed to keep current with daily operations
  Work in a team environment and participate in constructive feedback
  Ability to handle numerous tasks simultaneously and with flexibility

Education

• High School Diploma or GED - Required

Experience

• 2 years healthcare billing and collections experience in a medical practice or healthcare organization - Required
• 5 years healthcare related medical professional billing and collections experience. - Preferred

Licenses and Certifications

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