Medicare Advantage Sr. Patient Account Collection Rep - North Phoenix (NSSC)
- Requisition ID
- 01 - Days
- Patient Financial Srvcs
- Support Services
- Position Type
- Regular Full-Time
- Physical Work Location and New Employee Orientation Location : Address
- 2500 W UTOPIA
- Work Hours
For this position we are seeking candidates with experience with Medicare Advantage.
HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.
HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.
High School Diploma or GED Required
Other 18 months patient accounts experience Required
Other 18 months billing, collection or Medicare/Commercial billings Required
This position performs collecting, reconciliation, credit balance resolution, research, correspondence and independent problem solving. Reconciles complex, multi-payment accounts. Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and PCON adjustment is accurate. Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. Identifies needs for process improvements and creating/enhancing processes in the PFS department. Promotes positive teamwork within department and among employees. Works with all hospital departments for proper coding and billing procedures. Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians' offices and attorneys' offices.
- Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction. Utilizes technical ability and understanding of applicable insurance contracts and regulations.
- Maintains current knowledge of regulatory billing requirements for specified payors. Attends inservices/continued education
- Interprets data processing reports and applies the information as needed for daily departmental productivity.
- Trains other staff members on reconciliation techniques and other aspects of the position.
It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.
Please review the Equal Employment Opportunity poster.
Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.