HonorHealth
Patient Account Rep II Physician Billing
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Patient Account Rep II Physician Billing
role at
HonorHealth .
Overview At HonorHealth, you’ll be part of a team creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full‑time and part‑time team members to help you and your family live your best lives. HonorHealth is one of Arizona’s largest nonprofit health systems, serving a population of five million people in the greater Phoenix metropolitan area.
Job Summary Responsible for all or part of the following: billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization, and a host of other duties to assure timely reimbursement to the medical provider. Demonstrates independent problem‑solving skills of account error necessary to bring the account balance to zero within established time frames.
Essential Functions
Research and secure payment for insurance accounts: follow up required daily accounts based on work queue assignment to reduce the A/R; submit appeal letters on unpaid and underpaid claims; participate in accounts receivable collections projects as needed to meet department goals; contact insurance companies to follow up on denials and correspondence; contact patients regarding insurance related issues; research recoups and repayments to ensure accurate payments that comply with Medicare and managed care contract methodologies; work the electronic denial file (835b) to ensure clean claim submission; review charge review work queues as assigned.
Research and secure payment for patient balances: follow up required daily accounts based on account work queue assignment to reduce daily cash; submit final letters to delinquent accounts; answer incoming patient calls; provide clinic support during patient care hours; collect past‑due balances; process credit card payments and post within the patient billing system; set up payment plans for patients; review statements for accuracy; act as liaison among patient, practice, and insurance carrier concerning complaints and problems; work with statement and bad debt vendors on disputes; process return mail to update accounts.
Perform routine data entry and/or review of claim edit work queues: input charges for physician billing; correct denials in claim edit work queues timely; maintain current knowledge of regulatory billing requirements for specified payers; process electronic claims batches daily and initiate paper claim printing; review charge review work queues as assigned.
Handle all payments and correspondence received in the central business office: process all EFT/ERA, lockbox, mail, POS, phone payments; process credit cards; create payment batches and scan all correspondence into the patient billing system; process deposits for all incoming payments, including POS from multiple clinics; set up courier service for new clinics; post payments and denials into the billing system; process ERA payments and work error work queue; perform daily batch reconciliation; follow up on credit work queues to maintain undistributed credits, process refunds, and research incorrect adjustments or payments.
Follow departmental functions: prioritize work to minimize interruptions and increase collection efficiency; participate in daily DMS huddle and all department meetings; provide five‑star customer service to patients, coworkers, vendors, and management; establish and maintain an efficient filing system; maintain a clean and organized work area; communicate and engage effectively with others; participate in training classes as needed; work in a team environment; accept constructive feedback; handle numerous tasks simultaneously with flexibility.
Education
High School Diploma or GED – Required
Experience
2 years healthcare billing and collections experience in a medical practice or healthcare organization – Required
5 years healthcare‑related medical professional billing and collections experience – Preferred
Licenses and Certifications None specified.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
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Patient Account Rep II Physician Billing
role at
HonorHealth .
Overview At HonorHealth, you’ll be part of a team creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full‑time and part‑time team members to help you and your family live your best lives. HonorHealth is one of Arizona’s largest nonprofit health systems, serving a population of five million people in the greater Phoenix metropolitan area.
Job Summary Responsible for all or part of the following: billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization, and a host of other duties to assure timely reimbursement to the medical provider. Demonstrates independent problem‑solving skills of account error necessary to bring the account balance to zero within established time frames.
Essential Functions
Research and secure payment for insurance accounts: follow up required daily accounts based on work queue assignment to reduce the A/R; submit appeal letters on unpaid and underpaid claims; participate in accounts receivable collections projects as needed to meet department goals; contact insurance companies to follow up on denials and correspondence; contact patients regarding insurance related issues; research recoups and repayments to ensure accurate payments that comply with Medicare and managed care contract methodologies; work the electronic denial file (835b) to ensure clean claim submission; review charge review work queues as assigned.
Research and secure payment for patient balances: follow up required daily accounts based on account work queue assignment to reduce daily cash; submit final letters to delinquent accounts; answer incoming patient calls; provide clinic support during patient care hours; collect past‑due balances; process credit card payments and post within the patient billing system; set up payment plans for patients; review statements for accuracy; act as liaison among patient, practice, and insurance carrier concerning complaints and problems; work with statement and bad debt vendors on disputes; process return mail to update accounts.
Perform routine data entry and/or review of claim edit work queues: input charges for physician billing; correct denials in claim edit work queues timely; maintain current knowledge of regulatory billing requirements for specified payers; process electronic claims batches daily and initiate paper claim printing; review charge review work queues as assigned.
Handle all payments and correspondence received in the central business office: process all EFT/ERA, lockbox, mail, POS, phone payments; process credit cards; create payment batches and scan all correspondence into the patient billing system; process deposits for all incoming payments, including POS from multiple clinics; set up courier service for new clinics; post payments and denials into the billing system; process ERA payments and work error work queue; perform daily batch reconciliation; follow up on credit work queues to maintain undistributed credits, process refunds, and research incorrect adjustments or payments.
Follow departmental functions: prioritize work to minimize interruptions and increase collection efficiency; participate in daily DMS huddle and all department meetings; provide five‑star customer service to patients, coworkers, vendors, and management; establish and maintain an efficient filing system; maintain a clean and organized work area; communicate and engage effectively with others; participate in training classes as needed; work in a team environment; accept constructive feedback; handle numerous tasks simultaneously with flexibility.
Education
High School Diploma or GED – Required
Experience
2 years healthcare billing and collections experience in a medical practice or healthcare organization – Required
5 years healthcare‑related medical professional billing and collections experience – Preferred
Licenses and Certifications None specified.
Seniority Level
Entry level
Employment Type
Full‑time
Job Function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr