Position Details
Department: CORP | Hospital Revenue Cycle Billing
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Financial Services
Posting #: 1008549
Employee Type: Full-Time
Position Summary
Posting Note: Hospital Collections Specialist
Location: Fully Remote - Arizona Residents ONLY
Schedule: MondayFriday
Flexible schedule between 6:00 AM 5:00 PM
Core Required Hours - 8:30 AM 2:30 PM
Weekly Requirement: Employees must complete 40 total hours weekly
Required Qualifications
Minimum 2 years of collections experience
Hospital/facility billing experience REQUIRED
AHCCCS experience REQUIRED
Medicare knowledge REQUIRED
Government payer experience strongly preferred
Strong understanding of denial management and appeals processes
Role Summary
We are seeking an experienced Hospital Collections Specialist to support hospital revenue cycle operations with a focus on:
Medicaid/AHCCCS collections
Insurance follow-up
Appeals processing
Denial management
Claims resolution and reimbursement recovery
Key Responsibilities
Contact insurance companies regarding unpaid or underpaid claims
Submit and manage claim appeals
Follow up on denied claims and resolve discrepancies
Ensure claims are processed accurately and reimbursed appropriately
Work managed care and government payer accounts efficiently
This position oversees the collection activity for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
Position Duties
- Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Contacts all assigned accounts in the work queue daily and provide sound collection follow-up on outstanding insurance balances.
- Batches, compiles, submits appeals and monitor accounts for proper reimbursement.
Responsible for achieving and maintaining accounts receivable days at the established goal.
- Establishes and maintains effective communication with employers, other healthcare providers, insurers, and patients/families to secure accurate and pertinent information to maximize reimbursement.
Communicates with internal and external customers by telephone and mail to verify charge accuracy and/or correct account errors.
Monitors and tracks contractual, billing, registration, and posting errors and provides continuous feedback to the department supervisor.
Verifies applicable contract by reviewing EOB messages, reviewing patient ID card, and verifying member information for managed care plans.
Uses good interpersonal skills to promote positive, effective interaction with customers and to promote quality service to ensure flow of information to appropriate staff and professionals.
Provides detailed documentation on the collection system to explain the action taken or promise made. Obtains current information on all accounts and records information as required.
Performs miscellaneous job related duties as requested.
RemoteSkills:
Accounts Receivable, Accounts Receivable Management, Billing, Communication Skills, Contract Management, Contract Review, Federal Laws and Regulations, Government, Government Sales, Health Plan, Healthcare Providers, Hospital, Insurance, Managed Care, Medicaid, Medical Billing, Medicare, Reimbursement, Set Goals, State Laws and Regulations, Work From Home
About the Company:
Phoenix Children's Hospital
