Patient Account Rep II AR Billing
: Job Details :

OverviewLooking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.Join us. Let's go beyond expectations and transform healthcare together.HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.ResponsibilitiesJob SummaryResponsible 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.

• Responsible for research and secure payment for insurance accounts: Follow up required daily accounts based on work queue assignment to reduce the A/RSubmit appeal letters on unpaid and underpaid claimsParticipate in accounts receivable collections projects as needed to meet department goalsContact insurance companies to follow up on denials and correspondenceContact patients regarding insurance related issuesResearch recoups and repayments to assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologiesWork the electronic denial file (835b) to ensure clean claim submissionReview 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/RSubmit final letters to delinquent accountsAnswer incoming patient calls Provide support to the clinics as needed during patient care hoursCollection calls to patients to collect past due balancesProcess credit card payments and post within the patient billing systemSet up payment plans for patientsReview statements to ensure accuracyActs as a liaison between patient, practice and insurance carrier regarding complaints and problemsWork with statement and bad debt vendors on disputes and ensure accuracy of accountsWork 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 timelyMaintains 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 claimsReview Charge review work queues as assigned
• Handles all payments and correspondence received in the central business officeProcesses all EFT/ERA, lockbox, mail, POS, phone payments.Processes credit cardsCreates payment batches and scans all correspondence into patient billing systemProcesses deposits for all incoming payment, including POS from multiple clinics Sets up courier service for new clinicsPosts payments and denials into patient billing systemProcesses ERA payments and works error work queuePerforms daily batch reconciliationFollow 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 processParticipate in daily DMS huddle, and all department meetingsProvide five star customer service, to include patients, coworkers, vendors and managementEstablish and maintain and efficient filing systemMaintain clean and organized work areaCommunicates and engages effectively with othersCommunicates and participates in training classes as needed to keep current with daily operationsWork in a team environment and participate in constructive feedbackAbility to handle numerous tasks simultaneously and with flexibility

QualificationsEducationHigh School Diploma or GED RequiredExperience2 years healthcare billing and collections experience or front office experience in a medical practice Required