Medical Billing Specialist IV - F​/U & Collections

Join our life-saving team in Phoenix, AZ and take advantage of:

• Sign-on bonus up to $7,500!

Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe.

With PHI Health you’ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.

PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems.

Our mission is simple: move communities to health while maintaining the highest standard of safety, period.

Under the direction and supervision of the Team Operational Coordinator (TOC), the Follow Up & Collections III position performs all collection tasks as assigned utilizing collection processes with a high level of knowledge, skills, abilities, and experience. The follow-up position will assume duties as a collector but not limited, to manage patient accounts from the point of resubmission through final resolution.

Identify and address denials by writing appeal letters and ensure account balances are correct based on payer contract terms. Possess and maintain knowledge of payer specific rules and guideline related to collection requirements. Perform necessary follow-up to obtain the appropriately owed reimbursement for services in a timely fashion.

• Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution.
• Analyze adverse billing, collections, and payer trends and report/present to management to include suggested solutions.
• Assist with special projects related to payer issues or overall collections shortfalls.
• Contact insurances in an assertive, consistent and knowledgeable manner in order to obtain timely payments. This includes escalation of issue to supervisors and/or grievance departments.
• Categorize and quantify payer payment issues for resolution and reporting to management.
• Demonstrate and maintain consistent customer focus in the face of adversity and change both internally and externally.
• Demonstrate the ability to contact insurances in a consistent and knowledgeable manner in order to obtain timely payments, this includes escalation of issue to supervisors.
• Demonstrates understanding of payer fee schedules, enrollment requirements along with PHI payer and facility contracts.
• Demonstrates, performs an understanding of insurance collections to include payment in full (negotiation) offers, over payment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with PHI's billing policies and procedures.
• Draft correspondence to patients and payers including 1st level appeals for technical denials, and identify accounts
• to refer to Appeals Department for escalation.
• Handle patient calls in support of collections activities to include financial review for charity program, payment plans, negotiation of discounts and proper resolution of patient complaints.
• Maintaining a professional relationship and effectively communicating with first responders, facilities, PHI agencies, entities, insurers, attorneys and patient's
• Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department.
• Organize and prioritize work to support production goals utilizing on-line tools and required systems and software.
• Participate in increasing responsibility through ongoing training and expansion of duties.
• Perform financial screening for payment in full (negotiation)…