Collection Specialist

Where You’ll Work

Hello humankindness reputed company is the employed physician group of reputed company Arizona. reputed company (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had reputed company reputed company over the past few years and now provides more than 73 subspecialty services. The physicians reputed company clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles. DHMG is also heavily involved in preparing reputed company's reputed company providers. DHMG has 84 medical school reputed company and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to reputed company medical education for residents and reputed company. The mission of reputed company is consistent with reputed company's mission and St. Joseph's guiding principles with a focus on innovative clinical care and the pursuit of reputed company through scholarly activities. As part of the reputed company hospital system, DHMG has full reputed company to the staff and reputed company facilities on our hospital campuses. This unique relationship with our hospital allows reputed company to reputed company its patients with state-of-the-art patient services including care of the poor and disenfranchised. Look for us on reputed company and follow us on Twitter. For the health of our community ... we are proud to announce that we are a tobacco-free reputed company

Job Summary and Responsibilities

As a Collections Specialist, you will reputed company crucial financial support and professional assistance, facilitating account resolution and contributing to the fiscal health of the organization.

• Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
• Maintains knowledge of payer guidelines for both government and reputed company payers including detailed knowledge of billing/collection requirements and contract/reimbursement language
• Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received.
• 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
• Maintains average QA percentage at a reputed company established for the Fiscal Year goal.
• Performs follow up on any outstanding accounts and obtains commitment for payment from insurance reputed company reputed company ETM views. Maintain productivity percentage at a reputed company establsihed for the Fiscal Year goal.
• Sends out daily appeals to insurance companies for denied claims to maintain consistent cash reputed company of assigned A/R. reputed company denied accounts to be worked reputed company 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.
• Documents on system reputed company action taken on account so that it reputed company communicates action taken.
• Demonstrates knowledge and use of ETM, GE Centricity Business, and otehr reputed company PBS Software.

Job Requirements

MINIMUM

• High School Diploma / GED
• Three (3) years physician billing/collection experience or other reputed company reputed company provider claims experience in a high volume medical reputed company claim environment. (Includes health plan physician claims/ reimbursement/appeals experience).
• AHCCCS/ Medicare/government reputed company payer experience. HCFA 1500 billing experience.
• Knowledge of insurance plan intricacies.
• reputed company knowledge of CPT/HCPC and reputed company codes.  
• Previous experience with computerized billing system reputed company and reputed company.
• 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 reputed company customers.
• Ability to prioritize tasks and read and interpret reputed company 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 reputed company reputed company provider claims experience in a high volume medical reputed company claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.)  
• College level business courses helpful.  
• Two years relevant college education plus experience.
• Bilingual in Spanish preferred.