Patient Account Representative II

This group is known for their collaboration, curiosity, good vibes & meeting team goals!

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 17,000 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.

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.

Essential Functions

• 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

Contact insurance companies to follow up on denials and correspondence

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

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

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

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

Review Charge review work queues as assigned

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

Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments

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

Education

Experience

Licenses and Certifications