Lead Medical Collections Specialist

PHI Health•Phoenix, AZ

6d•Onsite

About The Position

Join our life-saving team in Phoenix, AZ and take advantage of: Sign-on bonus up to $7,500! This offer won’t last long! Apply today! 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. Who We Are: 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.

Requirements

High School Diploma or equivalent required
3 – 4 years previous collections experience, with emphasis on healthcare insurance negotiations/collections of all types
1+ year in an SME, leadership or supervisory role preferred.
Strong understanding of commercial, Medicare, and Medicaid payer policies.
In-depth knowledge of healthcare billing systems and payer portals.
Familiarity with Medicare, Medicaid, and commercial payer guidelines.
Excellent problem-solving and critical thinking skills.
Strong analytical, organizational, and communication skills.
Ability to handle multiple tasks in a fast-paced environment.
Proficiency in Excel and other Microsoft Office tools.
This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.

Nice To Haves

Associate’s degree preferred.

Responsibilities

Serve as a SME and point of contact for team members on complex collection issues or questions.
Work high-balance, aging, or escalated accounts requiring advanced follow-up, appeals, negotiations or coordination with payers.
Assist in streamlining and improving collection workflows and processes to support timely resolution of claims.
Collaborate with billing, coding, and patient services teams to address denials, underpayments, or claim rejections.
Monitor and analyze account receivables and contribute to reducing outstanding A/R and improving cash flow.
Generate and review daily or weekly reports to identify trends or issues in collections and escalate to management as needed.
Maintain current knowledge of payer policies, billing guidelines.
Support training initiatives by sharing knowledge and best practices with new or existing team members.
Understanding and knowledge of medical payors from Private, Government, Workers Compensation, Auto and others
Team player and self-starter
Able to work under pressure and meet strict deadlines and performance goals
Coachable and open to learning new processes and strategies
Strong verbal and written communication skills
Ability to multi-task and stay organized
Understanding of Revenue Cycle, AR follow up, Cash Follow, Denial management and or Self Pay role
Provides an oversight of daily workflows of employees and software systems in the production environment.
Act as a liaison for outside collection agencies, partner facilities and other providers by assisting with requests and questions.
Demonstrates ability to take direction, coordinate projects and prioritize assignments on individual and departmental level.
Demonstrates software expertise that includes Microsoft Office Suite.
Audit work queue accounts to ensure training and production standards are met by line staff.
Provides audit findings and detailed employee training.
Reviews and approves timely filing actions, patient complaints and adjustments of accounts.
Any other duties as assigned.