Patient Account Representative I AR Claims Edits Rejections Team - HonorHealth

Overview:

Looking 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.

Qualifications:Education
High School Diploma or GED Required

Experience
1 year Healthcare related medical billing and collection experience in a medical practice or healthcare organization. Required

Responsibilities:Job Summary
Responsible for part of the following: billing and collecting, research, payment posting, charge entry, 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/R,
  Contact insurance companies to follow up on denials and correspondence.
  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.
  Answer incoming patient calls.
  Process credit card payments and post within the patient billing system.
  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
  Maintains current knowledge of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectations.
  Review Charge review work queues as assigned.
  
• Handles all payments and correspondence received in the central business office.
  Creates payment batches and scans all correspondence into patient billing system,
  Posts payments and denials into patient billing system.
  
• 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.

Facility:HH Medical Group SupportDepartment:Med Group Business OpsWork Hours:8:00am - 4:30pmShift:01 - DaysPosition Type:Regular Full-Time