Billing Collection Lead

Primary City/State: Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027 Category: Billing and Revenue Cycle Shift: Day, M-F 6:30 am to 3:00 pm Department: Patient Financial Services Location: Mostly remote with some mandatory on-site meetings. Must reside in the greater Phoenix metro area. Responsibilities Assist staff in billing and/or collection on problem accounts for Commercial and Government payers. Leads special billing, rebill and/or collections projects. Researches complex billing edits, claim errors or collections patient account errors utilizing various computer applications and software. Monitors daily billing imports, exports and balancing, including review of unbilled, claims errors, and clean claim rates and/or collections activity. Reviews daily productivity of the staff and meets with staff to review. Familiar with a variety of the field's concepts, practices, and procedures. Relies on extensive experience and judgment to plan and accomplish goals. Must have advanced knowledge of CMS and Payer billing requirements, with ability to research and respond to new initiatives. Essential Functions Performs timely follow‑up on patient accounts and collection activities normally found in the more problem accounts. Reconciles explanation of benefits to contract terms and files appeals for denials. Leads and serves as a resource for fellow employees in regards to patient accounts and collection matters. Assists in development and provides ongoing training to collections and patient accounts employees. Creates and manages/maintains reports across different platforms to assist management, improve billing process and identify issues in our internal processes. Maintains daily claims reconciliation and balances claims from patient accounting system to 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 in order to enhance communications, and relations skills. Participates in process improvement activities. Performs other related duties as assigned or requested. Education High School Diploma or GEDRequired. Other / Certificate: Post high school education, to include, but not limited to accounting courses or medical business office certificate program. Experience 2 years Commercial contract and Medicare reimbursement collection experienceRequired. 2 years Commercial and Medicare regulatory billing experienceRequired. 5 years Commercial contract and Medicare reimbursement collection experiencePreferred. 5 years Commercial and Medicare regulatory billing experiencePreferred. Equal Opportunity Employment HonorHealth is committed to providing an excellent candidate experience for candidates interested in our job opportunities. We also care about the online safety of our job seekers. If you are suspicious of a job posting, or if you receive any email from an HonorHealth employee that you believe to be fictitious, please contact us at View email address on click.appcast.io. We do not use Google Hangouts to conduct interviews or conversations. We will not ask you to provide any personal information (i.e. driver’s license, bank account, credit card information, passwords, social security number) outside of our Applicant Tracking Software before a job offer is extended. If you believe that HonorHealth has violated your civil rights or believe you have experienced discrimination, please click the link to obtain information on your rights to file a complaint. For more information, please click here. #J-18808-Ljbffr 70 HonorHealth Support Services