COLLECTOR II

Location: US-AZ-PHOENIX Status: Full Time, Employee Job Category: Accounting/Finance/Insurance Reference Code: 49170 Job Description The PFS Collector II is responsible for handling payer billing and collection activities in the Patient Financial Services Aged Receivable Unit of CHW-Phoenix. The primary purpose of this position is to process aged CHW patient accounts in an efficient and timely manner. QUALIFICATIONS: High School diploma or equivalent required. Some college coursework in business administration or accounting preferred. Minimum five years PFS, CBO experience preferred, with a working knowledge of insurance carriers' billing regulations and requirements including claims submission, follow-up and appeals process, and focused review processes. Must have a strong working knowledge of current patient accounting and claims editing applications in a hospital environment. Must demonstrate proficiency in the following: . Coding requirements . Funding source guidelines and regulations . System applications . Medicare, Medicaid, Managed Care and Commercial Insurance/Self-Pay, and Third Party regulations and outcomes. Scope of Accountabilities . Demonstrates the ability to work independently, perform duties and make decisions with minimal supervision. . Performs billing/collection functions relevant to the Patient Financial Services area in a manner that consistently meets or exceeds a score of 85% in key performance criteria to be measured by Quality Assurance audit. . Maintains thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections. . Proficient in understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings. . Demonstrates an excellent understanding of benefits requirements, on-line claims status, submission, and reconciliation procedures. . Performs billing and rebilling functions as appropriate and exhibits extensive knowledge of all bill forms and filing requirements. . Functions as a subject matter expert in assisting other PFS team members and serves as a role model. . Ability to recognize and identify payer trends and communicate to PFS Leadership Team. . Identifies and resolves problems and makes recommendations for process improvements. . Continually seeks to understand and act upon customer needs, concerns and priorities. Meets customer expectations and requirements, and gains customer trust and respect. Click here to Apply Online. Contact information