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 nine 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 16,000 team members, 3,700 affiliated providers and close to 1,100 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. 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. Leads up special projects when assigned. Assist with training and workflow changes. 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 Handle escalated calls to insurance company supervisor to follow up on problem accounts regarding denials 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 Research and request insurance refund requests Perform bad debt and non contractual adjustments as requested Monitor and trend denials seen in WQ and work with supervisor on workflow and education to staff 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 Handle escalated calls from patients regarding accounts when supervisor is off the floor. 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 Research and request patient refunds 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 Work with IT on upgraded CPT, DX and billing provider files to ensure claims are processed timely Trend and track registration batches received and assign as appropriate Review Charge review and claim edit work queues as assigned Follows departmental functions: Act as a lead for the department team to help with special projects, assist with training and workflow changes 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 Assist supervisor with reporting and maintaining department spreadsheets 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 for both CBO and clinic deposits Maintain posting spreadsheet and work with finance on month end balancing Perform workflow education to practice managers and staff Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments Work with credentialing on on boarding physician and clinics to ensure proper routing of electronic payments Be the liaison for different teams to research payments on missing checks Process refunds once they have been approved Qualifications Education High School Diploma or GED Required Experience 4 years Healthcare billing and collections experience or front office experience in a medical practice or exhibited knowledge and comprehension of the above by demonstration of productivity and quality benchmarks. Required