Revenue Cycle Insurance Collector

Revenue Cycle Insurance Collector

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As our Insurance Biller, you will provide critical support in the revenue cycle, meticulously processing and submitting claims to ensure timely and accurate reimbursement for services rendered across our healthcare network. You will serve as a key player in our financial operations, ensuring that all billing activities are handled with precision to maintain the organization's financial health and operational efficiency.

Every day you will expertly review patient accounts, verify insurance information, apply correct coding, and meticulously prepare and transmit claims. You will act as an advocate for the organization by diligently following up on rejections and denials, resolving insurance inquiries, and ensuring that all accounts receivable processes are completed within established fiscal deadlines.

To be successful in this role, you will demonstrate outstanding attention to detail, a comprehensive knowledge of medical billing regulations, and a persistent, analytical demeanor. You are a tech-savvy professional comfortable using Cerner and other clearinghouse software, who thrives on identifying processing trends and is committed to maintaining high standards of quality assurance and regulatory compliance.

• Perform daily billing functions for assigned Accounts Receivable claims, ensuring timely resolution and maximum reimbursement.
• Maintain a high quality assurance and productivity percentage in alignment with annual fiscal performance goals.
• Execute daily appeals for denied claims, ensuring all actions are accurately documented within the Cerner system to maintain consistent cash flow.
• Resolve incoming correspondence and telephone inquiries from payers, addressing the needs of both internal and external customers.
• Identify recurring trends and patterns in claims processing and actively participate in departmental process improvement initiatives.
• Maintain expert-level knowledge of billing changes, including UB-04 and HIPAA requirements, through continuous professional development and internal training.

Required

• High School Graduate
• Two years Hospital billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan, hospital claims, reimbursement, appeals experience)
• AHCCCS/ Medicare/government Commercial payer
• UB-04 billing
• Previous experience with computerized billing systems, WordProcessing and Spreadsheet applications

Preferred

• Four years Hospital billing/collection experience
• College level business courses
• Two years relevant college education and experience
• Experience with Google Workplace applications, Billing clearing house and Cerner

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.