Tuba City Regional Health Care Corporation
Accounts Receivable Specialist l/ll
Tuba City Regional Health Care Corporation, Tuba City, Arizona, us, 86045
Overview
POSITION SUMMARY The primary purpose of this position is to perform a major segment of the accounts receivable support function through the follow-up process of all outstanding patient accounts within the Business Office. Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Qualifications Education:
High School diploma or GED
(Specialist I)
Associates Degree in Business Administration, Finance, Accounting and/or Medical Billing Certificates
(Specialist II)
Experience:
Specialist I:
Must have one (1) year in a healthcare patient accounting setting as an Accounting Clerk/Technician, Finance Clerk, Accounts Receivable Clerk/Technician, and/or Accounts Payable Clerk/Technician
Specialist II:
In addition to Specialist I requirement, must have three (3) years of experience in generating reports, preparing and monitoring accounting data and demonstrated experience in compiling and assisting in reconciliation of third-party billing
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
Positive working relationships with others
Possession of high ethical standards and no history of complaints
Reliable and dependable; reports to work as scheduled without excessive absences
Must be able to work independently and be highly motivated, organized, and efficient
Exceptional verbal and written communication skills
Ability to prioritize daily, weekly and monthly work responsibilities effectively
Ability to work under conditions of frequent interruptions and availability to work flexible schedule
Must be proficient with typing and accurate spelling/grammar
Proficient with the Microsoft Suite applications – Word, Excel, Outlook, Power Point, Access
Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC
Environmental and Work Conditions MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical:
The work is primarily sedentary requiring the ability of prolonged sitting, occasional standing, walking, driving, bending, climbing, kneeling, crouching, twisting, maintaining balance, and reaching. Must be able to occasionally push, pull, and lift up varied weights according to job needs. Sensory requirements for position include prolonged use of near vision, hearing normal speech, and color vision: occasional sensory ability for far vision, depth perception, seeing fine details, hearing overhead pages on loudspeakers, and telephone use. Must have both hand manipulation in prolonged simple grasping and use of keyboard; occasional firm grasping and fine manipulation.
Environmental:
May rarely/occasionally be exposed to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.
Responsibilities ESSENTIAL FUNCTIONS Accounts Receivable Specialist I
Relies on instruction and pre-established guidelines to perform the functions of the job
Work under immediate supervision or team lead leader
Accounts Receivable Specialist II
Relies on limited experience and judgment to plan and accomplish goals and performs a variety of tasks
Works under general supervision with a certain degree of creativity and latitude, provides detailed reports to Supervisor/Manager
Reviews patient accounts to determine status, makes standard adjustments that require special analysis, prepares and processes a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts.
Examines work for accuracy, adequacy of documentation or citation, compliance with regulations, and justification of claims and other requests for payment for (1) services provided by TCRHCC (2) reimbursement of expenditures made by beneficiaries and non-beneficiaries for purposes such as medical care and treatment.
Reviews delinquent patient account records, follows up with responsible parties via telephone and correspondence according to organization policy and procedures. Performs telephone contact with third party payers for amounts due on a timely basis. Maintains assigned collector work queue for follow-up with responsible parties on outstanding balances, makes financial arrangement in accordance with organizational policy and procedure.
Utilize knowledge of various insurance payer types including private insurance, Medicaid, Medicare, and managed care for effective billing and collections
Responsible for identifying patient accounts deemed non-collectable. Review accounts for possible reassignment and prepare information for collection agency
Identify and bill secondary/tertiary insurances.
Identify and resolve customer and patient billing issues. Contacts responsible parties regarding discrepancies in payments if necessary. Resolutions include examining customer payment plans, payment history, credit line; coordinating contact with collections department
Maintain and resolve Late Charge and Credit Balance accounts.
Maintains financial security by following internal accounting controls. Secures financial information by completing data base backups. Maintains financial historical records by filing accounting documents
Participates in team huddles and team meetings to manage and plan effective patient care services. Participates and contributes to Performance Improvement requirements of the department and TCRHCC.
Performs all other duties as assigned.
Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
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POSITION SUMMARY The primary purpose of this position is to perform a major segment of the accounts receivable support function through the follow-up process of all outstanding patient accounts within the Business Office. Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.
Qualifications Education:
High School diploma or GED
(Specialist I)
Associates Degree in Business Administration, Finance, Accounting and/or Medical Billing Certificates
(Specialist II)
Experience:
Specialist I:
Must have one (1) year in a healthcare patient accounting setting as an Accounting Clerk/Technician, Finance Clerk, Accounts Receivable Clerk/Technician, and/or Accounts Payable Clerk/Technician
Specialist II:
In addition to Specialist I requirement, must have three (3) years of experience in generating reports, preparing and monitoring accounting data and demonstrated experience in compiling and assisting in reconciliation of third-party billing
Other Skills and Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
Positive working relationships with others
Possession of high ethical standards and no history of complaints
Reliable and dependable; reports to work as scheduled without excessive absences
Must be able to work independently and be highly motivated, organized, and efficient
Exceptional verbal and written communication skills
Ability to prioritize daily, weekly and monthly work responsibilities effectively
Ability to work under conditions of frequent interruptions and availability to work flexible schedule
Must be proficient with typing and accurate spelling/grammar
Proficient with the Microsoft Suite applications – Word, Excel, Outlook, Power Point, Access
Completion of and above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC
Environmental and Work Conditions MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical:
The work is primarily sedentary requiring the ability of prolonged sitting, occasional standing, walking, driving, bending, climbing, kneeling, crouching, twisting, maintaining balance, and reaching. Must be able to occasionally push, pull, and lift up varied weights according to job needs. Sensory requirements for position include prolonged use of near vision, hearing normal speech, and color vision: occasional sensory ability for far vision, depth perception, seeing fine details, hearing overhead pages on loudspeakers, and telephone use. Must have both hand manipulation in prolonged simple grasping and use of keyboard; occasional firm grasping and fine manipulation.
Environmental:
May rarely/occasionally be exposed to infectious diseases, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.
Responsibilities ESSENTIAL FUNCTIONS Accounts Receivable Specialist I
Relies on instruction and pre-established guidelines to perform the functions of the job
Work under immediate supervision or team lead leader
Accounts Receivable Specialist II
Relies on limited experience and judgment to plan and accomplish goals and performs a variety of tasks
Works under general supervision with a certain degree of creativity and latitude, provides detailed reports to Supervisor/Manager
Reviews patient accounts to determine status, makes standard adjustments that require special analysis, prepares and processes a variety of documents necessary for the maintenance and follow-up of all outstanding patient accounts.
Examines work for accuracy, adequacy of documentation or citation, compliance with regulations, and justification of claims and other requests for payment for (1) services provided by TCRHCC (2) reimbursement of expenditures made by beneficiaries and non-beneficiaries for purposes such as medical care and treatment.
Reviews delinquent patient account records, follows up with responsible parties via telephone and correspondence according to organization policy and procedures. Performs telephone contact with third party payers for amounts due on a timely basis. Maintains assigned collector work queue for follow-up with responsible parties on outstanding balances, makes financial arrangement in accordance with organizational policy and procedure.
Utilize knowledge of various insurance payer types including private insurance, Medicaid, Medicare, and managed care for effective billing and collections
Responsible for identifying patient accounts deemed non-collectable. Review accounts for possible reassignment and prepare information for collection agency
Identify and bill secondary/tertiary insurances.
Identify and resolve customer and patient billing issues. Contacts responsible parties regarding discrepancies in payments if necessary. Resolutions include examining customer payment plans, payment history, credit line; coordinating contact with collections department
Maintain and resolve Late Charge and Credit Balance accounts.
Maintains financial security by following internal accounting controls. Secures financial information by completing data base backups. Maintains financial historical records by filing accounting documents
Participates in team huddles and team meetings to manage and plan effective patient care services. Participates and contributes to Performance Improvement requirements of the department and TCRHCC.
Performs all other duties as assigned.
Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee, and external customer satisfaction.
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