Revenue Cycle Specialist
Department: CORP | Hospital Revenue Cycle
Category: Patient Financial Services
Posting #: 633265
Date Posted: 12/7/2021
Employee Type: Regular
This position oversees the collection activity for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
Excellence in clinical care, service and communication
Collaborative within our institution and with others who share our mission and goals
Leadership that set the standard for pediatric health care today and innovations of the future
Accountability to our patients, community and each other for providing the best in the most cost-effective way.
Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
Contacts all assigned accounts in the work queue daily and provide sound collection follow-up on outstanding insurance balances.
Batches, compiles, submits appeals and monitor accounts for proper reimbursement.
Responsible for achieving and maintaining accounts receivable days at the established goal.
Establishes and maintains effective communication with employers, other healthcare providers, insurers, and patients/families to secure accurate and pertinent information to maximize reimbursement.
Communicate with internal and external customers by telephone and mail to verify charge accuracy and/or correct account errors.
Monitors and tracks contractual, billing, registration, and posting errors and provides continuous feedback to the department supervisor.
Verifies applicable contract by reviewing EOB messages, reviewing patient ID card, and verifying member information for managed care plans.
Uses good interpersonal skills to promote positive, effective interaction with customers and to promote quality service to ensure flow of information to appropriate staff and professionals.
Provides detailed documentation on the collection system to explain the action taken or promise made. Obtains current information on all accounts and records information as required.
Performs miscellaneous job related duties as requested.
Phoenix Children’s Hospital is an Equal Opportunity Employer. Qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, age, genetic information, physical or mental disability, military or veteran status, sexual orientation, gender identity/expression, or other protected status in accordance with applicable federal, state, and local laws and regulations. Phoenix Children’s also provides aids and services to people with disabilities to communicate effectively with us.
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