Billing Collections Lead

HonorHealth
United States, Arizona, Phoenix
2500 West Utopia Road (Show on map)
Nov 05, 2024
Overview Looking to be part of something more meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let's go beyond expectations and transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary Billing and Collection Lead serves as a resource for the billing and collections staff. 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. 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. Qualifications Education High School Diploma or GED Required Experience 2 years Commercial contract and Medicare reimbursement collection experience Required 2 years Commercial and Medicare regulatory billing experience Required