Collection Specialist

Dignity Health Medical Group • Phoenix, AZ

9d • $19 - $27 • Onsite

About The Position

As a Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization. Every day you will expertly communicate with clients to resolve outstanding balances, meticulously document interactions, negotiate payment arrangements, and diligently follow established protocols to ensure timely and effective collection efforts. To be successful, you will demonstrate outstanding communication skills, strong negotiation abilities, and a persistent, empathetic demeanor, contributing to positive client relationships and efficient revenue recovery.

Requirements

• High School Diploma or GED
• Three (3) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Includes health plan physician claims/reimbursement/appeals experience)
• AHCCCS/ Medicare/ government commercial payer experience
• HCFA1500 billing experience
• Knowledge of insurance plan intricacies
• Current knowledge of CPT/HCPC and revenue codes
• Knowledge of collection guidelines and regulations
• Previous experience with computerized billing system, MS Word and Excel

Nice To Haves

• College level business courses
• Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment (Includes health plan physician claims/reimbursement/ appeals experience.)
• Two (2) years relevant college education plus experience

Responsibilities

• Maintains average QA percentage at a rate established for the Fiscal Year goal.
• Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views. Maintain productivity percentage at a rate established for the Fiscal Year goal.
• Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R. All denied accounts to be worked via the rejection views and have accurate action taken assigned for completion.
• Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that addresses the needs of internal/external customers.
• Documents on system all action taken on account so that it clearly communicates action taken.
• Demonstrates knowledge and use of ETM, GE Centricity Business, and other related PBS Software.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED