HONORHEALTH Patient Account Rep II - Physician Billing Salary in the United States

Overview

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 12,300 employees, 3,700 affiliated physicians and 3,100 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.

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.

• 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.

Qualifications

Education
High School Diploma or GED Required

Experience
2 years healthcare billing and collections experience or front office experience in a medical practice Required