Revenue Cycle Collections Specialist

Dignity Health Medical Group•Phoenix, AZ

7d•$19 - $27

About The Position

The Revenue Cycle Collections Specialist provides financial support and professional assistance to facilitate account resolution and contribute to the organization’s fiscal health. The role communicates with clients to resolve outstanding balances, documents interactions, negotiates payment arrangements, and follows established protocols to support timely and effective collections. The specialist follows up on outstanding accounts, prioritizes high-dollar and aging accounts, works payer denials and related correspondence within applicable deadlines, and records actions in the practice management system. The position also identifies denial trends, maintains current billing knowledge, and works independently while following departmental procedures and chain of command.

Requirements

High school diploma or GED.
Three years of physician-billing or collections experience, or other related healthcare-provider claims experience in a high-volume medical healthcare claims environment. Health plan physician claims, reimbursement, or appeals experience is included.
Experience with AHCCCS, Medicare, government, and commercial payers.
CMS-1500 and 837P billing experience.
Experience with EMR and practice management systems, including Google.
Knowledge of insurance plan intricacies.
Current knowledge of CPT, HCPCS, and ICD-10 codes.
Typing speed of 65 words per minute and 225 key strokes per minute (10-key).
Knowledge of collection guidelines and regulations.
Excellent problem-solving and communication skills.
Ability to interact effectively with internal and external customers.
Ability to prioritize tasks and read and interpret complex contract language.
Effective verbal and written communication skills.
Proficiency with office equipment, including telephone systems, computers, fax machines, copiers, and printers.

Nice To Haves

Professional Biller Certification through AAPC.
Two years of relevant college education.
Bilingual in Spanish.

Responsibilities

Maintain quality and productivity at the rate established by PE RCM leadership for the fiscal-year goal.
Follow up on outstanding accounts, prioritizing high-dollar and aging accounts, and document actions taken to resolve claims in the practice management system (PMS).
Understand payer guidelines for reconsiderations, corrected claims, and appeals, and work denials to maintain consistent cash flow.
Work correspondence and medical-record requests in a timely manner and in accordance with payer deadlines.
Use the PMS, electronic medical records (EMR) system, and related facility and payer portals or websites.
Use departmental equipment, including telephones, computers, facsimile machines, printers, and timekeeping systems.
Perform assignments independently, prioritize workloads consistently, identify denial trends, and share trends with leadership.
Follow the department chain of command and use leads for basic workflow and payer questions.
Maintain current knowledge of billing, including CMS-1500, HIPAA, and 837 transactions.
Maintain attendance according to departmental policies and attend PE RCM department or unit meetings.
Communicate with clients to resolve outstanding balances, document interactions, and negotiate payment arrangements.