Job Description

Job Details
Experienced
Adelante Healthcare Center Support Office - Phoenix, AZ
Non-Exempt
2 Year Degree
None
Day
Health Care
Description

POSITION SUMMARY

Primarily responsible for effective collection on patient accounts, accounts receivable follow up, and reimbursement analysis. Coordinates activities with stakeholders.

EXPECTATIONS

Every Adelante employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day. Employees are expected work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism and competence.

 

OUR CORE VALUES

  • Excellence
  • Integrity
  • Sustainability
  • Respect
  • Compassion
Qualifications
  • Two (2) year college degree AND greater than (3) years’ experience in accounts receivable roles such as:
    • Medical Collections Representative
    • Accounts Receivable Representative
    • Medical Biller
    • Charge Entry Specialist
    • Medical Coder
  • Working knowledge of medical/dental, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies
  • Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA
  • FQHC experience strongly preferred
  • NextGen experience preferred
  • Provide excellence in customer service with ability to interact with and instruct colleagues from beginner to advance levels
  • Working knowledge of current Microsoft Office applications
  • Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment
  • Prioritization and multi-task skills are required

NONESSENTIAL SKILLS AND EXPERIENCE

  • Demonstrated experience as an Advocate for Health Care or Human Rights
  • Certification as Revenue Cycle Representative (CRCR,HFMA)
  • Certification as professional coder (CPC, AAPC)
  • Bachelor’s degree in Accounting, Finance, or other relevant field of study
  • Fluency in a language in addition to English (Spanish preferred)

POSITION RESPONSIBILITIES

  • Ensure all provider charges, treatments, and codes are posted correctly
  • Prepare and submit clean claims to various insurance companies
  • Work payer rejects and denials
  • Interpret and resolve accounts receivable problems with patients and insurance companies
  • Research customer discrepancies, discuss any deviation from client payment plans, obtain appropriate approvals to have open credits applied, and, in general, keep the accounts receivable systems clean
  • Research disputed delinquent account balances, correct any errors including misapplied payments, direct deposit, and overpayment from insurance errors
  • Responsible for the generation and mailing of weekly patient billing, and accurate collection of accounts receivable on weekly basis
  • Support and train site checkout staff and patient representatives in charge entry system
  • Review status of delinquent accounts and initiate appropriate collection action including telephone calls and correspondence on delinquent accounts
  • Support management on special projects
  • Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
  • Assist dental staff with billing/account questions
  • Answer patient phone calls regarding statements/billing

Additional Duties and Responsibilities

  • Additional duties as requested or assigned

 

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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