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Senior Representative - Patient Account Collect

HonorHealthHealthcare & Nursing
Hiring from
United States
Work type
Hybrid
Posted
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Primary City/State:

Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027

Category:

Billing and Revenue Cycle

Shift:

Day

Department:

Patient Financial Services

Work Hours are 6:00 am-2:30 pm or 7:00 am-3:30 pm

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

This position performs collecting, reconciliation, credit balance resolution, research, correspondence and independent problem solving. Reconciles complex, multi-payment accounts. Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and PCON adjustment is accurate. Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. Identifies needs for process improvements and creating/enhancing processes in the PFS department. Promotes positive teamwork within department and among employees. Works with all hospital departments for proper coding and billing procedures. Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians' offices and attorneys' offices.

ESSENTIAL FUNCTIONS
  • Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction. Utilizes technical ability and understanding of applicable insurance contracts and regulations.
  • Maintains current knowledge of regulatory billing requirements for specified payors. Attends in-services/continued education
  • Interprets data processing reports and applies the information as needed for daily departmental productivity.
  • Trains other staff members on reconciliation techniques and other aspects of the position.

EDUCATION
  • High School Diploma or GED Required
  • Other / Certificate Post high school education, to include, but not limited to accounting courses or medical business office certificate program Preferred
EXPERIENCE
  • Other 18 months patient accounts experience Required
  • Other 18 months billing, collection or Medicare/Commercial billings Required
  • 5 years Billing or collections Preferred
LICENSES AND CERTIFICATIONS

We're all in for your career.

About Us

Expert care from experts who care.

At HonorHealth, you’ll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication. We’re delivering a healthcare experience that simply feels better through:

• Nine acute-care hospitals

• Over 200 primary, specialty and urgent care centers

• More than 17,000 team members and 4,000 medical staff

Since 1927, we’ve been focused on doing what matters most — caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona’s largest nonprofit healthcare systems, we’re just as driven as we were a century ago. Come join us and go all in for your career.

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IMPORTANT: HonorHealth is committed to providing an excellent candidate experience for candidates interested in our job opportunities. We also care about the online safety of our job seekers. Please note the following:

HonorHealth employee emails come from HonorHealth (i.e hr@honorhealth.com) not a generic email address, such as gmail or yahoo.

  • If you are suspicious of a job posting, or if you receive any email from an HonorHealth employee that you believe to be fictitious, please contact us EmploymentOffice.HR@HonorHealth.com.

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  • If you believe that HonorHealth has violated your civil rights or believe you have experienced discrimination, please click the link to obtain information on your rights to file a complaint. For more information, please click here.

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