Lead Medical Collections Specialist

PHI - Quality Care Through Quality Jobs•Phoenix, AZ

8d•Onsite

About The Position

PHI Health is seeking dynamic, driven individuals to join their team, committed to providing top-tier emergency medical services. This role plays a crucial part in orchestrating seamless operations that keep their advanced fleet soaring and patients safe. The position offers an opportunity to collaborate with industry leaders, drive initiatives, and make a meaningful impact while developing a professional career. PHI Health is the leading air ambulance provider in the United States, known for its safety record and specialized personnel. They transport over 22,000 patients annually from more than 80 bases nationwide, offering services and outreach education to communities and healthcare systems. Their mission is to move communities to health with the highest standard of safety.

Requirements

High School Diploma or equivalent required
3 – 4 years previous collections experience, with emphasis on healthcare insurance negotiations/collections of all types
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.

Nice To Haves

Associate’s degree preferred.
1+ year in an SME, leadership or supervisory role 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.