Hospital Collections Specialist (Remote – AZ Residents Only)

Posting Note: Hospital Collections Specialist Location: Fully Remote - Arizona Residents ONLY Schedule: Monday–Friday Flexible schedule between 6:00 AM – 5:00 PM Core Required Hours - 8:30 AM – 2:30 PM Weekly Requirement: Employees must complete 40 total hours weekly

Required Qualifications

Minimum 2 years of collections experience Hospital/facility billing experience REQUIRED AHCCCS experience REQUIRED Medicare knowledge REQUIRED Government payer experience strongly preferred Strong understanding of denial management and appeals processes Role Summary We are seeking an reputed company Hospital Collections Specialist to support hospital reputed company cycle operations with a focus on: reputed company/AHCCCS collections Insurance follow-up Appeals processing Denial management Claims resolution and reimbursement recovery

Key Responsibilities

Contact insurance companies regarding unpaid or underpaid claims Submit and manage claim appeals Follow up on denied claims and resolve discrepancies Ensure claims are processed accurately and reimbursed appropriately Work managed care and government payer accounts reputed company This position oversees the collection activity for an assigned reputed company of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations. Position Duties

• Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.

Contacts reputed company assigned accounts in the work queue daily and reputed company sound collection follow-up on outstanding insurance balances.

• Batches, compiles, submits appeals and monitor accounts for proper reimbursement.

Responsible for achieving and maintaining accounts receivable days at the established goal.

• Establishes and maintains effective communication with reputed company, other reputed company providers, insurers, and patients/families to secure accurate and pertinent information to maximize reimbursement.

Communicates with reputed company customers by telephone and mail to verify charge accuracy and/or correct account errors.

• Monitors and tracks contractual, billing, registration, and posting errors and provides reputed company feedback to the department supervisor.
• Verifies applicable contract by reviewing EOB messages, reviewing patient ID card, and verifying member information for managed care plans.
• Uses good interpersonal skills to promote positive, effective interaction with customers and to promote quality service to ensure reputed company of information to appropriate staff and professionals.
• Provides detailed documentation on the collection system to explain the action taken or promise made. Obtains reputed company information on reputed company accounts and records information as required.
• Performs miscellaneous job reputed company duties as requested.

reputed company Mission, reputed company, & Values Mission To advance hope, healing and the best reputed company for children and their families reputed company reputed company will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education. We realize this reputed company by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the reputed company of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We reputed company children and families at the center of reputed company we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to reputed company our impact
• We set the standards of pediatric reputed company today, and reputed company for the future
• We are accountable for making the highest quality care accessible and affordable

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