Patient Account Representative II - Patient Billing Services

## Patient Account Representative II - Patient Billing Services Apply:
Hybrid:
Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027:
Full time:
Posted Today:
JR12573
** Primary City/State:
** Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027
** Category:
** Patient Services
** Shift:
** Day
* * Department:
** Business Operations7:30am-4:00 PM
** Great care starts with great people. (Like you.)
** At Honor Health, 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  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.
* 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/RS  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
* 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  Review Charge review work queues as assigned
* 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  Follow up on credit work queues to maintain the undistributed credits, process refunds and…