Accounts Receivable Representative II

ADELANTE HEALTHCARE INC•Phoenix, AZ

4d•Onsite

About The Position

The Accounts Receivable Representative II is primarily responsible for effective collection on patient accounts, accounts receivable follow-up, and reimbursement analysis, participate in special billing projects, and other tasks as assigned. Every Adelante Healthcare employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

Requirements

High school diploma or GED from an accredited institution
Working knowledge of medical, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies
Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA
Provide excellence in customer service with ability to interact with and instruct colleagues from beginner to advance levels
Working knowledge of current Microsoft Office applications
Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment
Prioritization and multi-task skills are required
Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations

Nice To Haves

Two (2) year college degree preferred
Greater than (3) years’ experience in a medical accounts receivable roles such as: Accounts Receivable Representative, Patient Collections
FQHC experience strongly preferred
Family practice, pediatrics, internal medicine and OBGYN strongly preferred
NextGen experience preferred
Demonstrated experience as an Advocate for Health Care or Human Rights
Certification as Revenue Cycle Representative (CRCR,HFMA)
Certification as professional coder (CPC, AAPC)
Bachelor’s degree in Accounting, Finance, or other relevant field of study
Fluency in a language in addition to English (Spanish preferred)

Responsibilities

Answer patient calls relating to questions about their bills
Review delinquent accounts and initiate appropriate collection action, including making outbound collection calls, sending collection correspondence to patients, and reviewing for submission to collection agency
Update demographic and payer related information obtained from the patient
May correct errors including misapplied payments/adjustments and applying account credits
Review credit balances and prepare refund requests for management approval
Responsible for the generation and mailing of claims
Review and process rejected claims for submission to payers
Assist site checkout staff and schedulers with billing questions/concerns
Complete adjustment projects
Support management on special projects as requested
Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
Promote and participate in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system.
Maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.
Comply with Adelante Healthcare’s written standards, including its Compliance Program and Code of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements.