Billing Collection Lead

Deer Valley - 2500 W Utopia Rd, Phoenix, AZ 85027 | Mostly remote with some mandatory on-site meetings. Must reside in the greater Phoenix metro area.

About the role

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 caring for the health and well-being of people and communities across the greater Phoenix area.

The Billing and Collection Lead serves as a resource for the billing and collections staff, assisting with problem accounts for Commercial and Government payers. Leads special billing, rebill, and collections projects, researches complex billing edits, claim errors, or collections patient account errors, and monitors daily billing imports, exports, and balancing. Familiar with a variety of the field's concepts, practices, and procedures, relying on extensive experience and judgment to plan and accomplish goals. Must have advanced knowledge of CMS and Payer billing requirements, with the ability to research and respond to new initiatives.

Responsibilities

• Performs timely follow-up on patient accounts and collection activities for problem accounts.
• Reconciles explanation of benefits to contract terms and files appeals for denials.
• Leads and serves as a resource for fellow employees regarding patient accounts and collection matters.
• Assists in development and provides ongoing training to collections and patient accounts employees.
• Creates and manages reports across different platforms to assist management, improve billing processes, and identify internal process issues.
• Maintains daily claims reconciliation and balances claims from the patient accounting system to the billing system and back to the Epic dashboard.
• Maintains current knowledge of regulatory billing requirements for Medicare Parts A, B, and DME, State Medicaid claims, and other payers' edits and requirements.
• Attends payer in-services and departmental meetings to enhance communications and relationship skills.
• Participates in process improvement activities.
• Performs other related duties as assigned or requested.

Requirements

• High School Diploma or GED required.
• Post high school education, including accounting courses or a medical business office certificate program, preferred.

Qualifications

• 2 years of Commercial contract and Medicare reimbursement collection experience or 2 years of Commercial and Medicare regulatory billing experience required.
• 5 years of Commercial contract and Medicare reimbursement collection experience or 5 years of Commercial and Medicare regulatory billing experience preferred.

Schedule

Monday through Friday, 6:30 am to 3:00 pm.