Billing Specialist - Follow Up & Collections IV

Medix Healthcare:

Medical Follow Up Representative (AR)

Phoenix, AZ (ONSITE)

Pay: $20-24/HR

Schedule: Monday - Friday 8:00AM-4:30PM

Urgent Hiring!!

*Must Haves To Apply*:

• 3-5 Years Of Medical Billing/AR Follow Up Experience

• Experienced With Major Commercial & Government Insurance Payers

• Intermediate User Of Microsoft Excel

• Detail Oriented

• Ability To Work Fully Onsite In Phoenix AZ

Duties:

• Acts as a patient advocate to obtain additional information and support for claims processing or to discuss outstanding patient balance with options available for balance resolution
• Analyze adverse billing, collections, and payer trends and report/present to management to include suggested solutions
• Assist with special projects related to payer issues or overall collections shortfalls
• Contact insurances in an assertive, consistent and knowledgeable manner in order to obtain timely payments. This includes escalation of issue to supervisors and/or grievance departments
• Demonstrate and maintain consistent customer focus in the face of adversity and change both internally and externally
• Demonstrates understanding of payer fee schedules, enrollment requirements along with payer and facility contracts
• Demonstrates, performs an understanding of insurance collections to include; payment in full (negotiation) offers, over payment reviews and approvals, next action on correspondence, insurance types, insurance classes, in compliance with billing policies and procedures
• Draft correspondence to patients and payers including 1st level appeals for technical denials, and identify accounts to refer to Appeals Department for escalation
• Handle patient calls in support of collections activities to include financial review for charity program, payment plans, negotiation of discounts and proper resolution of patient complaints
• Maintaining a professional relationship and effectively communicating with first responders, facilities, agencies, entities, insurers, attorneys and patients.
• Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department
• Participate in increasing responsibility through ongoing training and expansion of duties
• Perform financial screening for payment in full (negotiation) offers, setting up payment plans and PHI's charity program in compliance with PHI's billing policies and procedures for appropriate next required action
• Perform in-depth account review such as; skip tracing, correspondence research, secondary claims billing, payment review, contractual adjustments and modify insurances/demographic information in compliance with PHI's billing policies and procedures or appropriate next required action
• Perform, identify, collect and confirm insurance coverage to include obtaining prior authorization, third party liability and coordinator of benefits
• Possess a good working knowledge of HCPCS, CPT, ICD-9, ICD10 codes, medical terminology and clinical documentation

Schedule:

Monday - Friday 8:00AM-4:30PM

Selling Points:

• Opportunity To Work In A Unique Billing Environment

• $7,500 Sign On Bonus!

• Opportunity For 3% Quarterly Bonuses Based On Metric Goals

• Free Lunch Every Day

3-5 Must Have Skills/Qualifications:

• 3-5 Years Of Medical Billing/AR Follow Up Experience

• Experienced With Major Commercial & Government Insurance Payers

• Intermediate User Of Microsoft Excel

• Detail Oriented

• Ability To Work Fully Onsite In Phoenix AZ

Nice To Have Skills:

• GE Centricity EMR Experience

• Ambulatory Billing Experience

Dress Code:

• Business Casual

#MedixWest