Insurance Collector

CommonSpirit Health • Prescott Valley, AZ

13d

About The Position

At Dignity Health , living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career. What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers. As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors. · It is an inviting community with bygone charm and modern amenities. · Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures. · The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family. Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care has earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020) and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and has placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott has to offer! #hellohumankindness

Requirements

• High School Diploma/GED
• Two (2) 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.
• HCFA 1500 billing experience

Nice To Haves

• Four (4) years physician billing/collection experience or otherrelated healthcare provider claimsexperience in a high volume medicalhealthcare claim environment. (Includeshealth plan physicianclaims/reimbursement/ appealsexperience.) and College level business courses helpful
• Two years relevant college education plusexperience., upon hire
• Experience with Google Workplaceapplications, Cerner and FinThrive

Responsibilities

• Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
• Maintains knowledge of payer guidelines for both government and commercial payers including detailed knowledge of billing/collection requirements and contract/reimbursement language.
• Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines.
• Responsible for resolution of accounts of low complexity (e.g., no activity, registration, eligibility, authorization, coordination of benefits).
• 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.
• 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 Cerner and have accurate action taken assigned for completion.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees