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CommonSpirit Health · 8 hours ago

Insurance Collector

Prescott Valley, AZ

Full-time

Onsite

Entry, Mid Level

$19.49/hr - $27.52/hr

2+ years exp

CommonSpirit Health is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services. The Insurance Collector role involves maintaining follow-up with insurance companies for timely reimbursement and performing daily billing functions for assigned Accounts Receivable claims.

Health CareMedicalNon Profit

Responsibilities

Maintains follow up with insurance companies to ensure timely and accurate reimbursement is received

Maintains knowledge of payer guidelines for both government and commercial payers including detailed knowledge of billing/collection requirements and contract/reimbursement language

Performs daily billing functions for assigned Accounts Receivable claims to ensure claims resolutions within set deadlines

Responsible for resolution of accounts of low complexity (e.g., no activity, registration, eligibility, authorization, coordination of benefits)

Maintains average QA percentage at a rate established for the Fiscal Year goal

Performs follow up on any outstanding accounts and obtains commitment for payment from insurance carrier

Maintain productivity percentage at a rate established for the Fiscal Year goal

Sends out daily appeals to insurance companies for denied claims to maintain consistent cash flow of assigned A/R

All denied accounts to be worked via Cerner and have accurate action taken assigned for completion

Qualification

Physician billing experienceInsurance claims experienceAHCCCS/Medicare experienceHCFA 1500 billingCerner proficiencyFinThrive proficiencyGoogle Workplace applicationsSoft skills

Required

High School Diploma/GED

Two (2) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/ reimbursement/ appeals experience)

AHCCCS/ Medicare/government Commercial payer experience

HCFA 1500 billing experience

Preferred

Four (4) years physician billing/collection experience or other related healthcare provider claims experience in a high volume medical healthcare claim environment. (Includes health plan physician claims/reimbursement/ appeals experience.)

College level business courses helpful

Two years relevant college education plus experience, upon hire

Experience with Google Workplace applications, Cerner and FinThrive

Company

CommonSpirit Health

Glassdoor3.6

Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.

Founded in 2019

Chicago, Illinois, USA

10001+ employees