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Contract Charge Review Jobs (NOW HIRING)

HonorHealth

Patient Account Rep II

Phoenix, AZ · On-site

$17 - $22.50/hr

... contracts payment methodologies Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned * Responsible for research and secure payment for ...

Renown Health

Coding Lead

Reno, NV · Remote

... contract coders for accuracy and compliance with Coding Clinic and facility guidelines. • Act as ... charge review and coding-related claim work queues to ensure timely and accurate charge capture.

Honorhealth

Patient Account Rep II

Phoenix, AZ

$17 - $22.50/hr

... contracts payment methodologies Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned * Responsible for research and secure payment for ...

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Patient Account Rep II

Patient Account Rep II

HonorHealth

Phoenix, AZ • On-site

$17 - $22.50/hr

Full-time

Posted 18 days ago

HonorHealth rating

7.7

Company rating: 7.7 out of 10

Based on 204 frontline employees who took The Breakroom Quiz

160th of 869 rated healthcare providers

Job description

Primary City/State:
Network Support Services Building 1
Category:
Patient Services
Shift:
Day
Department:
Business Operations
Great care starts with great people. (Like you.)
At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
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
  • Responsible for 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 assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologies
    Work the electronic denial file (835b) to ensure clean claim submission
    Review Charge review work queues as assigned
  • Responsible for research and secure payment for patient balances:
    Follow up required daily accounts based on account work queue assignment to reduce the cash pays A/R
    Submit final letters to delinquent accounts
    Answer incoming patient calls
    Provide support to the clinics as needed during patient care hours
    Collection calls to patients to collect past due balances
    Process credit card payments and post within the patient billing system
    Set up payment plans for patients
    Review statements to ensure accuracy
    Acts as a liaison between patient, practice and insurance carrier regarding complaints and problems
    Work with statement and bad debt vendors on disputes and ensure accuracy of accounts
    Work return mail to update accounts to ensure accuracy
  • Performs routine data entry and/or review of claim edit work queues:
    Input charges for physician billing
    Correct denials that have dropped to the claim edit work queues timely
    Maintains current knowledge of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectations
    Process the electronic claims batch daily and initiate the printing of paper claims
    Review Charge review work queues as assigned
  • Handles all payments and correspondence received in the central business office
    Processes all EFT/ERA, lockbox, mail, POS, phone payments.
    Processes credit cards
    Creates payment batches and scans all correspondence into patient billing system
    Processes deposits for all incoming payment, including POS from multiple clinics
    Sets up courier service for new clinics
    Posts payments and denials into patient billing system
    Processes ERA payments and works error work queue
    Performs daily batch reconciliation
    Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments
  • Follows departmental functions:
    Prioritize work to minimize interruptions and increase efficiency in collections process
    Participate in daily DMS huddle, and all department meetings
    Provide five-star customer service, to include patients, coworkers, vendors and management
    Establish and maintain and efficient filing system
    Maintain clean and organized work area
    Communicates and engages effectively with others
    Communicates and participates in training classes as needed to keep current with daily operations
    Work in a team environment and participate in constructive feedback
    Ability to handle numerous tasks simultaneously and 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
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What HonorHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About HonorHealth

Sourced by ZipRecruiter

HonorHealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater Phoenix area. The network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation, and community services with approximately 13,100 team members, 3,500 affiliated providers and nearly 700 volunteers. HonorHealth was formed by a merger between Scottsdale Healthcare and John C. Lincoln Health Network. HonorHealth's mission is to improve the health and well-being of those we serve.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Scottsdale, AZ, US

Year founded

2014

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