Patient Account Representative II - Patient Billing Services

HonorHealth•Phoenix, AZ

11h•Onsite

About The Position

The Patient Account Representative II is responsible for billing and collections, account research, correspondence, payment and adjustment posting, charge entry, prior authorization, and other duties needed to secure timely reimbursement to the medical provider. The role independently identifies and resolves account errors to bring balances to zero within established time frames. The representative researches insurance and patient accounts, follows up on assigned work queues, handles denials and appeals, communicates with insurers and patients, posts payments, and supports accurate claims processing and account reconciliation. The role also provides customer service to patients, coworkers, vendors, clinics, and management, and participates in department meetings, huddles, and training. The position is based at HonorHealth’s Deer Valley location in Phoenix, Arizona. The stated schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m., for 40 hours per week.

Requirements

High school diploma or GED.
At least 2 years of healthcare billing and collections experience in a medical practice or healthcare organization.
The posting’s introductory details state a minimum of 3 years of professional medical insurance billing and collections experience, including denial work.

Nice To Haves

5 years of healthcare-related medical professional billing and collections experience (preferred).

Responsibilities

Research insurance accounts and secure payment, following up on assigned daily work queues to reduce accounts receivable.
Submit appeal letters for unpaid and underpaid claims.
Participate in accounts receivable collection projects as needed to meet department goals.
Contact insurance companies regarding denials and correspondence, and contact patients about insurance-related issues.
Research recoupments and repayments to verify payment accuracy and compliance with Medicare and managed care contract methodologies.
Work the electronic denial file (835b) to support clean claim submission.
Review assigned charge-review work queues.
Research patient balances and secure payment by following assigned account work queues.
Send final letters to delinquent accounts, answer incoming patient calls, and make collection calls regarding past-due balances.
Provide support to clinics during patient care hours.
Process and post credit-card payments in the patient billing system, establish patient payment plans, and review statements for accuracy.
Serve as a liaison among patients, practices, and insurance carriers regarding complaints and problems.
Work with statement and bad-debt vendors on disputes and account accuracy.
Process returned mail and update account information.
Enter physician-billing charges and correct denials in claim-edit work queues in a timely manner.
Maintain current knowledge of regulatory billing requirements and payer- and specialty-specific limitations and expectations.
Process the electronic claims batch daily and initiate printing of paper claims.
Handle payments and correspondence received in the central business office, including EFT/ERA, lockbox, mail, point-of-service, and phone payments.
Create payment batches and scan correspondence into the patient billing system.
Process deposits for incoming payments, including point-of-service payments from multiple clinics; arrange courier service for new clinics.
Post payments and denials into the patient billing system, process ERA payments, and work the error queue.
Perform daily batch reconciliation and follow up on credit work queues, including undistributed credits, refunds, and research of incorrect adjustments or payments.
Prioritize work to minimize interruptions and improve collection efficiency.
Participate in daily DMS huddles and department meetings.
Provide five-star customer service to patients, coworkers, vendors, and management.
Establish and maintain an efficient filing system and keep the work area clean and organized.
Communicate and engage effectively with others, participate in training as needed, work in a team environment, and contribute to constructive feedback.
Handle numerous tasks simultaneously and work flexibly.
Perform other duties as assigned.