Revenue Cycle Collections Specialist

CommonSpirit Health•Phoenix, AZ

About The Position

As a Revenue Cycle Collections Specialist, you will provide crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization. Every day you will expertly communicate with clients to resolve outstanding balances, meticulously document interactions, negotiate payment arrangements, and diligently follow established protocols to ensure timely and effective collection efforts. To be successful, you will demonstrate outstanding communication skills, strong negotiation abilities, and a persistent, empathetic demeanor, contributing to positive client relationships and efficient revenue recovery.

Requirements

High School Diploma or GED
Three (3) 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
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/ICD-10 codes
Typing speed of 65 wpm and 225 kpm (10 key)
Knowledge of collection guidelines and regulations
Excellent problem solving and communication skills
Ability to effectively interact with internal and external customers
Ability to prioritize tasks and read and interpret complex contract language
Effective verbal and written communication skills
Proficient in the use of office equipment; e.g., telephone system, computer, fax machine, copier, printer

Nice To Haves

Professional Biller Certification through AAPC
Two (2) relevant college education
Bilingual in Spanish

Responsibilities

Maintains Quality and Productivity at a rate established by PE RCM leadership for the Fiscal Year goal.
Performs follow up on any outstanding accounts, prioritizing high dollar and aging accounts, and documents actions taken to resolve the claim in the practice management system (PMS).
Understands payer guidelines regarding reconsiderations, corrected claims and appeals and works denials accordingly to maintain consistent cash flow.
Works correspondence and/or medical record requests in a timely manner in accordance with payer deadlines.
Demonstrates knowledge and use of the Practice Management System (PMS), Electronic Medical Records system (EMR), and all other related facility and payer portals/websites.
Displays competency in the use of departmental equipment; e.g., telephones, computers, facsimile, printers, timekeeping systems, etc.
Performs assignments independently, consistently prioritizes workloads, identifies denial trends and shares them with leadership.
Follows the department chain of command: supervisors, manager, director.
Utilizes leads for basic questions regarding workflow, payer questions, etc.
Maintains current knowledge of billing including: CMS-1500, HIPAA, 837 Transactions, etc.
Maintains attendance according to the departmental policies and attends PE RCM department/unit meetings.