billing and collections specialist

Western CBO

Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO)The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development.Job Description: Patient Accounts Specialist Monday-Friday 5:00AM-1:30PMThe Patient Accounts Specialist manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include, validating codes and charges are correct, preparing and submitting claims according to Medicare payer guidelines, and ensuring accurate and timely claim submissions.Experience: 2+ years medical insurance billing and collections experience.Education: High School or equivalent.Requirements:<ul><li>Demonstrates knowledge of medical insurance billing and collections.</li><li>Experience with denials and appeals.</li><li>Excel and data entry systems experience.</li></ul>This opportunity offers the following:<ul><li>Challenging and rewarding work environment</li><li>Growth and Development Opportunities within UHS and its Subsidiaries</li><li>Competitive Compensation</li><li>Excellent Medical, Dental, Vision and Prescription Drug Plan</li><li>401k plan with company match</li></ul>Universal Health Services:One of the nation&rsquo;s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World&rsquo;s Most Admired Companies by Fortune; and listed in Forbes ranking of America&rsquo;s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the U.S. States, Washington, D.C., Puerto Rico, and the United Kingdom. www.uhs.com.EEO Statement:All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, or local laws.We believe that diversity and inclusion among our teammates is critical to our success.Notice:At UHS and all our subsidiaries, our Human Resources departments and recruiter are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.Pay: $18.00 - $23.31 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

PATIENT ACCOUNTS SPECIALIST - MEDICARE

Dermatology Associates

Company Overview Dermatology Associates is a privately owned, specialized medical practice with over 35 years of experience serving patients across multiple locations. Renowned for excellence and innovation, we are committed to advancing dermatology through rigorous training programs and community-focused care.Job Summary:The Medical A/R Specialist is responsible for managing the organization&rsquo;s accounts receivable, ensuring that all payments owed to the practice, clinic, or healthcare facility are collected promptly and accurately. This role involves reviewing and following up on unpaid claims, investigating and resolving payment discrepancies, working with insurance companies and patients to resolve issues, and maintaining accurate billing and collections records.Key Responsibilities:<ul><li>Claims Management:</li><li>Review and manage accounts receivable reports daily to identify unpaid or underpaid claims.</li><li>Follow up on insurance claims, denials, and appeals.</li><li>Correct and resubmit denied or rejected claims based on payer requirements.</li><li>Communicate with insurance companies to resolve outstanding claim issues and ensure timely reimbursement.</li><li>Ensure that claims are billed accurately, reflecting appropriate coding and patient demographics.</li><li>Collections:</li><li>Initiate and conduct follow-up on unpaid patient balances, including generating patient statements and making collection calls.</li><li>Collaborate with patients and insurance representatives to resolve account discrepancies and ensure payments are made.</li><li>Monitor aging accounts receivable and follow up with appropriate parties to ensure collections.</li><li>Payment Posting:</li><li>Accurately post payments received from insurance companies and patients into the billing system.</li><li>Reconcile payments against Explanation of Benefits (EOB) statements to verify accuracy.</li><li>Address payment discrepancies, short payments, or overpayments.</li><li>Compliance and Documentation:</li><li>Maintain comprehensive and accurate records of billing, payments, and communications with payers and patients.</li><li>Ensure compliance with all HIPAA regulations and other legal requirements.</li><li>Stay updated on changes in insurance guidelines, coding, and billing regulations.</li><li>Reporting:</li><li>Generate and analyze A/R aging reports to monitor outstanding balances.</li><li>Report any recurring issues with claim denials or payment delays to the Billing Manager or Revenue Cycle Director.</li><li>Provide periodic updates on collection activities, account statuses, and resolutions.</li><li>Customer Service:</li><li>Provide excellent customer service when interacting with patients regarding their billing concerns or questions.</li><li>Work closely with other departments, such as medical coding and patient services, to ensure accurate claim submissions and patient billing.</li><li>Required Qualifications:</li><li>Education:</li><li>High school diploma or equivalent required.</li><li>An associate's degree or certification in healthcare administration, medical billing, or related field preferred.</li><li>Experience:</li><li>Minimum of 2 years of experience in medical billing, accounts receivable, or healthcare revenue cycle management.</li><li>Familiarity with medical billing software and electronic health record (EHR) systems.</li><li>Experience with insurance claim processes, denials, appeals, and collections.</li></ul>Drug Free WorkplaceJob Type: Full-timeSchedule:<ul><li>Monday to Friday</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Experience:<ul><li>Medical billing: 1 year (Required)</li></ul>Benefits:<ul><li>401(k) matching</li></ul>Work Location: In person

Medical Billing A/R Specialist

Advanced Rx Management

Company: Advanced RxLocation: U.S.-based Industry: Pharmaceutical Services / Physician DispensingPosition SummaryAdvanced Rx Management, a rapidly growing pharmaceutical services company headquartered in Sunrise, Florida, is seeking a results-driven Reimbursement Specialist to support our expanding national client base.This role is responsible for managing the full revenue cycle for Workers&rsquo; Compensation and Personal Injury prescription claims, with direct accountability for reducing Accounts Receivable and driving timely, accurate reimbursement. This is not a task-based billing position &mdash; the selected candidate will own a defined book of business and be responsible for resolving claims efficiently, minimizing AR aging, identifying denial trends, and improving overall cash flow performance.The ideal candidate is analytical, detail-oriented, and proactive, with the ability to think critically through complex billing issues, identify root causes of denials or underpayments, and strategically move accounts toward resolution. We are seeking a team-oriented professional who values accuracy, accountability, and excellence in execution, and who contributes meaningfully to improved reimbursement outcomes in a fast-paced, growth-focused environment.Key Responsibilities<ul><li>Manage the full billing and collections lifecycle for a defined book of Workers&rsquo; Compensation and Personal Injury prescription claims, with direct accountability for AR performance and aging metrics</li><li>Maintain and thoroughly work a minimum of 40+ patient accounts, ensuring consistent progress toward resolution</li><li>Review and prioritize aging reports daily to proactively reduce 60/90/120+ day AR and accelerate reimbursement</li><li>Analyze EOBs, notices of disallowance, state fee schedule variances, and payment discrepancies to identify root causes and independently execute the appropriate resolution strategy (corrected claim submission, appeal, adjuster outreach, escalation, or legal follow-up)</li><li>Track and resolve unpaid and underpaid claims to ensure accurate reimbursement in accordance with contractual terms and state fee schedules</li><li>Prepare and submit timely, comprehensive appeals with complete medical and billing documentation to support dispute resolution</li><li>Ensure claim accuracy through detailed review and correction of demographic information, insurance data, ICD-10 diagnoses, CPT coding, and billing modifiers as needed</li><li>Identify denial patterns and recurring payer issues; recommend and support process improvements to reduce repeat denials and strengthen revenue cycle performance</li><li>Maintain detailed, accurate account documentation to support compliance, reporting, and effective follow-up</li><li>Communicate professionally and persistently with insurance carriers, adjusters, attorneys, and internal clinical teams to drive timely account resolution</li><li>Meet or exceed defined KPIs related to:</li><li>AR reduction targets</li><li>Collection rate improvement</li><li>Appeal success rates</li><li>Productivity standards (accounts worked daily)</li><li>Quality and accuracy benchmarks</li><li>Support special projects and revenue cycle improvement initiatives aligned with company growth objectives</li></ul>Qualifications<ul><li>Minimum 2 years of medical billing and collections experience (preferred)</li><li>Workers&rsquo; Compensation billing experience strongly preferred</li><li>Strong knowledge of EOB interpretation, understand ICD-10 coding, and denial management</li><li>Proven experience with appeals and insurance carrier follow-up</li><li>Strong analytical and problem-solving skills</li><li>High attention to detail and ability to manage multiple accounts simultaneously</li><li>Excellent written and verbal communication skills</li><li>Proficient in Microsoft Excel</li><li>Ability to work independently in a fast-paced, growth-oriented environment</li></ul>Ideal Candidate ProfileThe successful candidate will demonstrate:<ul><li>Critical thinking beyond task execution</li><li>Ownership of account resolution</li><li>Persistence in follow-up and escalation</li><li>Ability to identify patterns and recommend process improvements</li><li>Professionalism in communication with payers and legal entities</li></ul>Schedule:Mon-Fri 8:00am to 5:00pm On-site1401 NW 136th Ave, Ste. 400, Sunrise, FL 33323.Pay: $19.00 - $23.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Referral program</li><li>Vision insurance</li></ul>Experience:<ul><li>billing medications/pharmacy-related services: 1 year (Preferred)</li><li>Workers' compensation billing and claims: 1 year (Preferred)</li></ul>Ability to Commute:<ul><li>Sunrise, FL 33323 (Required)</li></ul>Work Location: In person

Reimbursement Specialist

CHRISTUS Health

<div>Description 
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection. This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to have knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA&rsquo;s business objectives.</li><li>
Documents and updates patient account information in TLRA&rsquo;s collection software system timely and accurate to include appropriate account status.</li><li>
Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and requests.</li><li>
Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.</li><li>
Performs research and analysis of account issues and strives to resolve problems timely and accurately.</li><li>
Ensure daily productivity standards are met.</li><li>
Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.</li><li>
Must have solid knowledge and utilization of desktop applications to include Word and Excel are essential.</li><li>
General hospital A/R accounts knowledge is required.</li><li>
Performs other special projects as required when assigned.</li></ul>
Collections &ndash; Insurance
<ul><li>Maintains active knowledge of all collection requirements by payors.</li><li>
Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.</li><li>
Ensures quality standards are met and proper documentation regarding patient accounting records.</li><li>
Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.</li></ul>
Collections &ndash; Self Pay
<ul><li>Ensures that self-pay accounts are handled in a customer service-oriented manner that accomplishes the goal of collecting monies due to clients, while at the same time preserving the positive image of TLRA that exists in the community.</li><li>
Responsible for assisting patients in identifying eligible means of financial assistance or if non apply working with the patient to make acceptable payment arrangements.</li><li>
Must be an effective team member with good communication skills. Must participate in team meetings, communicate work-related ideas and concerns proactively, and assist in finding appropriate resolutions.</li></ul>
Physician Billing/Collections
<ul><li>Ensure proper reimbursement for all services and to ensure all appeals are filed timely.</li><li>
Review accounts and determine appropriate follow-up activities utilizing Six Sigma Practices.</li><li>
Identify under and overpayments and take appropriate actions to resolve accounts.</li><li>
Validate commercial insurance claims to ensure the claims are paid according to the contract.</li><li>
Direct knowledge using Meditech and CollectLogix software.</li><li>
Monitor and communicate errors generated by other groups and evaluate for trends.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High School diploma or equivalent years of experience required.
</li></ul>Experience
<ul><li>3-5 years of experience preferred.
</li><li>experience in a Customer Service call center environment with a focus on healthcare billing/collections or collection agency environment required.
</li><li>College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul> 
Work Schedule: 
MULTIPLE SHIFTS AVAILABLE
Work Type: 
Full Time</div>

Patient Account Specialist Senior-TLRA Insurance

Surgery Ventures

<div><h5 class="jobSectionHeader">Introduction</h5>
This is an in-office position. Hours are Monday-Thursday 7:30-4:30, Friday 7:30-2
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Collections SpecialistSurgery Ventures<h5 class="jobSectionHeader">
Benefits</h5>
Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>Consumer discounts through Abenity and Consumer Discounts 
</li><li>Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>Colleague recognition program 
</li><li>Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
We are seeking a Collections Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:<ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims
</li><li>You will update the patient account record to identify actions taken</li><li>
You will assign bad debt to the collection agency
</li><li>You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts
</li><li>You are responsible for maintaining accounts receivable and creating a reduction in bad debt
</li></ul>Qualifications you will need:<ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul>
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder 
If you find this opportunity compelling, we encourage you to apply for our Collections Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Collections Specialist

HCA Healthcare

<div>**After 90 days, Hybrid/Remote work may be available &ndash; Interested candidates must live in the local Kansas City metro area.** Hours: 7:30AM-4:00PM**
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Insurance Specialist with HCA Healthcare you can be a part of an organization that is devoted to giving back!
<h5 class="jobSectionHeader">Job Summary and Qualifications</h5>
As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
What you will do in this role:<ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims</li><li>
You will update the patient account record to identify actions taken</li><li>
You will assign bad debt to the collection agency</li><li>
You will act as a liaison accounts and administer contracts in collection of third partyaccounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts</li><li>
You are responsible for maintaining accounts receivable and creating a reduction in bad debt</li></ul>
Qualifications you will need:<ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul>
<h5 class="jobSectionHeader">Benefits</h5>
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
At the Surgery Ventures Central Business Office in MidAmerica, we support financial and patient care operations of 10 ambulatory surgery centers across the Kansas City Metro. Staff are assigned to work with one or more surgery centers via remote, in office and hybrid working environments.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
Be a part of an organization that invests in you! We are reviewing applications for our Insurance Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Insurance Specialist

PHI Air Medical

<div>Join Our Life-Saving Team in Phoenix, AZ today and take advantage of a $7,500 sign on bonus &mdash; this offer won&rsquo;t last long! Apply Today!
Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe.
With PHI Health you&rsquo;ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.
Who We Are:
PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period.
Job Summary:
The appeals negotiator is responsible for ensuring the highest reimbursement for all underpaid contractual and non-contractual payers. The negotiator will build and maintain outstanding relationships with all payers while adhering to PHI reimbursement policies. The negotiator will identify, document, and assist in the collections of all contracted and non-contracted underpayments from the payers. The negotiator will provide and produce thorough supporting documentation regarding additional payment for the level of services that were rendered. This position provides oversight and resolution for claim denials that require written response. This includes denials for medical necessity, low &quot;usual and customary&quot; payments, not to the closest facility, and reduction to ground level payments. This position requires a high level of knowledge in compliance, federal and state regulations, and clinical record information extraction. This position reports to the leadership of Patient Financial Services.
Compensation and Benefits<ul><li>
We offer a range of competitive pay and benefits package to keep our teams happy, healthy, and invested.</li></ul>
Schedule/Location<ul><li>
5 &amp; 2</li><li>
Phoenix, AZ</li></ul>
The Successful Candidate Will Have:<ul><li>
High School diploma or GED required.</li><li>
Bachelor's degree preferred with 5 years related work experience.</li><li>
5+ years' experience in medical billing, surgical billing, billing in emergency medical services and collections preferred.</li><li>
Medicare, Managed Care, Workers' Comp. experience.</li><li>
3-5 years of experience in appeals and negotiation background.</li><li>
Expertise in billing software and Internet-based research required.</li><li>
Must have solid knowledge of patient account systems, revenue management processes, workflow systems and the ability to troubleshoot and suggest improvements.</li><li>
Ability to work independently with strong interpersonal skills to effectively interact with all levels of employees both with the client and with PFS.</li><li>
Must have demonstrated experience in researching statutes and understanding regulatory documents.</li><li>
Must demonstrate the ability to draft a professional and effective appeal letter.</li><li>
Ability to verbally communicate details and understand parameters of job responsibilities.</li><li>
Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless of if the communication is inside the Company or with customers, clients, or providers.</li><li>
Ability to read, write and follow specific instructions in both written and verbal form.</li><li>
Requires an in-depth understanding of compliance, regulatory oversight bodies and payer requirements.</li><li>
Team player, interfaces well with employees.</li><li>
Represents the company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients.</li><li>
May have supervisory responsibility.</li><li>
This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.</li></ul>
Our Core Competencies:<ul><li>
Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.</li><li>
Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.</li><li>
Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.</li><li>
Service. We are dedicated to the service of our customers, our communities and each other.</li></ul>
The PHI Health Advantage
For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country.
Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry.
Join Our Life-Saving Team in Phoenix, AZ today and take advantage of a $7,500 sign on bonus
DISCLAIMER
The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws</div>

Appeals Negotiator - NSA

Search 10000+ Billing and collections specialist jobs near you this April. New roles added regularly across leading industries. Apply today.