Job Information
Dignity Health Collection Specialist in Phoenix, Arizona
Overview
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Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 sub-specialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership roles.DHMG is also heavily involved in preparing tomorrow's healthcare providers. Clinical services are complemented with translational and bench research to augment medical education for residents and students.
If you are committed to social justice, health equity, and prepared to deliver care in new, innovative ways, you belong with us.
For the health of our community. We are proud to announce that we are a tobacco-free campus.
Responsibilities
The Collections Specialist II maintains follow up with insurance companies to ensure timely and accurate reimbursement is received. Maintains knowledge of payer guidelines for both government and commercial payers including detailed knowledge of billing/collection requirements and contract/reimbursement language.
Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines. Responsible for resolution of account of low complexity (e.g., no activity, registration, eligibility, authorization, coordination of benefits).
Maintains average QA percentage at a rate established for the Fiscal Year goal.
Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines.
Responsible for resolution of account of low complexity (e.g., no activity, registration, eligibility, authorization, coordination of benefits).
Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier via ETM views.
Maintain productivity percentage at a rate established for the Fiscal Year goal.
Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R. All denied accounts to be worked via the rejection views and have accurate action taken assigned for completion.
Resolves incoming correspondence or telephone inquiries in a timely manner in accordance with payer deadlines, and in a manner that address the needs of internal/external customers.
Performs all other duties as assigned.
Provides System Support.
Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000.
Qualifications
Minimum:
High School Diploma / GED
Three (3) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/ reimbursement/appeals experience).
AHCCCS/ Medicare/government Commercial payer experience.
HCFA 1500 billing experience.
Knowledge of insurance plan intricacies.
Current knowledge of CPT/HCPC and revenue codes.
Previous experience with computerized billing system MS Word and Excel.
Typing speed of 65 wpm and 225 kpm (10 key).
Knowledge of collection guidelines and regulations.
Excellent problem solving and communication skills.
Ability to effectively interact with internal and external customers.
Ability to prioritize tasks and read and interpret complex contract language.
Effective verbal and written communication skills.
Proficient in the use of office equipment; e.g. telephone system computer fax machine copier printer.
Preferred:
Five (5) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.)
College level business courses.
Two years relevant college education.
Bilingual in Spanish.
Pay Range
$18.00 - $24.66 /hour
We are an equal opportunity/affirmative action employer.