Tanson Corp Phoenix , AZ 85001
Position Overview: (Major Functions and Non-Essential Functions):
Collects, reviews, discusses, and documents demographic, insurance, and financial information with patients and payers for Client Clinic Arizona, Jacksonville and Rochester Revenue Cycles. Responsible for management and collection of Client Clinic Account Receivables through the use of automated systems and revenue cycle processes. Responds to and resolves a variety of account, billing and payment issues from patients and customers. Follows approved guidelines and policies regarding routine patient and payer interactions. Makes independent decisions that require individual and/or team analysis, reasoning, and problem solving. Interprets, applies and communicates Client Clinic policies regarding medical and financial aspects of patient care to assure optimal reimbursement for both the patient and Client Clinic. This individual must accurately document interactions and interpret interactions documented by others. Must have excellent customer service skills and possess the ability to negotiate payment reimbursement from patients and third party payers, via incoming and outgoing phone calls or face to face interactions. Position may be eligible for and/or required for telework based on business need, from an off-site location, following adequate training period and demonstrated ability to meet required metrics.
Minimum Education and/or Experience Required: (Education Requirements and Experience):
Bachelor degree in business or health care field preferred. Qualified candidates must be customer-focused, service-oriented and possess demonstrated skills in teambuilding, communication, decision-making, problem-solving, interaction, coping and versatility.
Knowledge of personal computer applications such as Windows, Microsoft Word and Excel, medical terminology, CPT and ICD-9 coding, Order Communication System and patient accounting system is helpful. Candidates possessing multi-linguistic skills and cross-cultural experiences are preferred, fluent in English is a requirement. Keyboarding experience required. NAHAM Certified Healthcare Access Associate (CHAA) certification preferred. Experience as a Financial Representative is preferred.
Specific Job Details: Experience in medical billing/payment and adjustment processing/credit resolution required.
Experience with insurance explanation of benefits and remittance advices. Experience with contract terms and ability to determine approval or denial of refund requests based on data available. Experience auditing patient accounts to determine correct liability.
Knowledge of coordination of benefits between insurances. Ability to document actions taken. Excellent customer service skills.
Must be customer-focused, service-oriented and possess skills in team-building, communication, decision-making, problem-solving, interaction, coping and versatility.
Knowledge of personal computer applications such as Windows, Microsoft Word and Excel, and patient accounting system is helpful. Keyboarding experience is required.
Experience as a Medical Financial Representative is required.
Health Quest experience is a plus. Traning will be M-F 6:00am-2:30 pm, and the schedule will be M-F 8 hour days between 6:00 am and 6:00pm.