AR Billing Specialist

CommonSpirit Health•Phoenix, AZ

About The Position

Where You’ll Work Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles. DHMG is also heavily involved in preparing tomorrow's healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Health's mission and St. Joseph's guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system, DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised. Look for us on Facebook and follow us on Twitter. For the health of our community ... we are proud to announce that we are a tobacco-free campus Job Summary and Responsibilities As a Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization.

Requirements

High School Diploma / GED
Three (3) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/ reimbursement/appeals experience).
AHCCCS/ Medicare/government Commercial payer experience.
HCFA 1500 billing experience.
Knowledge of insurance plan intricacies.
Current knowledge of CPT/HCPC and revenue codes.
Previous experience with computerized billing system
MS Word and Excel.
Typing speed of 65 wpm and 225 kpm (10 key).
Knowledge of collection guidelines and regulations.
Excellent problem solving and communication skills.
Ability to effectively interact with internal and external customers.
Ability to prioritize tasks and read and interpret complex contract language.
Effective verbal and written communication skills.
Proficient in the use of office equipment; e.g. telephone system computer fax machine copier printer.

Nice To Haves

Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.)
College level business courses helpful.
Two years relevant college education plus experience.
Bilingual in Spanish preferred.

Responsibilities

Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
Maintains knowledge of payer guidelines for both government and commercial payers including detailed knowledge of billing/collection requirements and contract/reimbursement language
Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that address the needs of internal/external customers
Maintains average QA percentage at a rate established for the Fiscal Year goal.
Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views.
Maintain productivity percentage at a rate establsihed for the Fiscal Year goal.
Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R.
All denied accounts to be worked via the rejection views and have accurate action taken assigned for completion.
Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that address the needs of internal/external customers.
Documents on system all action taken on account so that it clearly communicates action taken.
Demonstrates knowledge and use of ETM, GE Centricity Business, and otehr related PBS Software.