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HonorHealth · 1 day ago

Patient Account Representative II - Patient Billing Services

Arizona, United States

Full-time

Onsite

Entry, Mid Level

2+ years exp

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, dedicated to improving the health and well-being of communities across the state. The Patient Account Representative II is responsible for billing and collecting payments, managing insurance accounts, and ensuring timely reimbursement to medical providers. This role requires independent problem-solving skills and involves daily follow-ups with insurance companies and patients regarding claims and payments.

Health Care

Responsibilities

Responsible for research and secure payment for insurance accounts: Follow up required daily accounts based on work queue assignment to reduce the A/R Submit appeal letters on unpaid and underpaid claims Participate in accounts receivable collections projects as needed to meet department goals Contact insurance companies to follow up on denials and correspondence Contact patients regarding insurance related issues Research recoups and repayments to assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologies Work the electronic denial file (835b) to ensure clean claim submission Review Charge review work queues as assigned

Responsible for research and secure payment for patient balances: Follow up required daily accounts based on account work queue assignment to reduce the cash pays A/R Submit final letters to delinquent accounts Answer incoming patient calls Provide support to the clinics as needed during patient care hours Collection calls to patients to collect past due balances Process credit card payments and post within the patient billing system Set up payment plans for patients Review statements to ensure accuracy Acts as a liaison between patient, practice and insurance carrier regarding complaints and problems Work with statement and bad debt vendors on disputes and ensure accuracy of accounts Work return mail to update accounts to ensure accuracy

Performs routine data entry and/or review of claim edit work queues: Input charges for physician billing Correct denials that have dropped to the claim edit work queues timely Maintains current knowledge of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectations Process the electronic claims batch daily and initiate the printing of paper claims Review Charge review work queues as assigned

Handles all payments and correspondence received in the central business office Processes all EFT/ERA, lockbox, mail, POS, phone payments. Processes credit cards Creates payment batches and scans all correspondence into patient billing system Processes deposits for all incoming payment, including POS from multiple clinics Sets up courier service for new clinics Posts payments and denials into patient billing system Processes ERA payments and works error work queue Performs daily batch reconciliation Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments

Follows departmental functions: Prioritize work to minimize interruptions and increase efficiency in collections process Participate in daily DMS huddle, and all department meetings Provide five-star customer service, to include patients, coworkers, vendors and management Establish and maintain and efficient filing system Maintain clean and organized work area Communicates and engages effectively with others Communicates and participates in training classes as needed to keep current with daily operations Work in a team environment and participate in constructive feedback Ability to handle numerous tasks simultaneously and with flexibility