Onvida Health · 11 hours ago
Revenue Cycle Specialist I Professional Billing and Collec | Support Center | Days
Yuma, AZ
Full-time
Onsite
New Grad, Entry Level
$17.67/hr - $25.98/hrOnvida Health is a community-focused healthcare provider in southwestern Arizona. The Revenue Cycle Specialist I will perform billing and collection activities for various healthcare services, ensuring compliance with payer requirements and providing support to patients regarding their accounts.
Health CareMedicalNon ProfitWellness
Responsibilities
Hospital and Professional Billers perform initial billing on third party claims, either electronically or paper. Reviews and corrects all billable claims in billing software in accordance with payer-specific guidelines and billing requirements. Prepares and submits appropriate billing attachments as required by specific payors. Comply with all government and third-party payers regulatory mandated requirements for billing and collections
Hospital and Professional Insurance Collectors perform timely and appropriate follow-up on unpaid, underpaid, suspended, and denied accounts, utilizing system work queues and/or reports, payer portals, etc. Performs outgoing calls to patients and insurance companies to obtain necessary information for accurate billing, collections and correction of denials. Prepare appeal letters, with appropriate supporting documentation to insurance carriers when not in agreement with claim denial. Reviews remittance advice to ensure payments are correct for services rendered and resolve payment discrepancies. Reviews credit balance accounts and take appropriate action to resolve the credit balance
Single Billing Office (SBO) Self Pay Collectors handle self-pay accounts, including financial assistance and collection agency assignment. Provides exemplary customer service to ensure that patients come first. Answers incoming patient phone calls and make outbound collection calls on open balances. Works with patients to set up appropriate payment plans on their accounts when applicable and follows up on past due payment plans. Identifies patients with potential financial hardship and qualifies for Financial Assistance (with all appropriate documentation). Responsible for appropriate handling of bankruptcy and deceased accounts
Enterprise Billing (EB) Payment Posters apply insurance payments, either electronically or from paper Explanation of Benefits (EOBs) against the appropriate account or line-item service and enters the adjustments, denial codes, copays, deductibles and co-insurance as indicated. Processes transactions in system by effectively and efficiently handling patient cash, check and credit card payments; to include daily posting of lockbox and patient electronic payment files, daily balancing and reconciliation of cash collected and prepare daily bank deposits, as appropriate. Handles the cash clearing and PLB accounts, undistributed payments, credit balancing activities along with determining and investigating unidentified accounts and processing refunds for patients and insurance companies
Organizes work and accomplishes results; prioritizes individual and departmental workload; handles multiple tasks simultaneously; follows up on assignments and meets deadlines. Maintains productivity and accuracy necessary to meet monthly collection goals. Models core values consistently
Sets an example with behavior and attitude that exemplifies an eagerness to satisfy, develop positive relationships with clients, patients, co-workers, payers, and enhance public relations through verbal communication. Projects a mature problem-solving attitude while dealing with interpersonal conflict
Contributes to team-building efforts within the department; interacts, communicates, and collaborates with team members to maximize group effectiveness; is a mentor and assists in training of fellow team members; addresses issues and concerns directly with coworkers to promote mutual respect within the work unit; contributes individually and/or through teams to the ongoing improvement of work processes
Other duties as assigned
Qualification
Required
HS DIPLOMA/GED
Background in hospital and/or professional accounts receivable
Working knowledge of reimbursement requirements of healthcare payers
Preferred
Working knowledge of self-pay or insurance billing and collections, and insurance terminology
Working knowledge of UB04, CMS 1500 and Explanation of Benefits (EOB) interpretation
Working knowledge of CPT, ICD-10, HCPCS, and modifiers
Working knowledge of medical reimbursement policies and procedures
Epic EHR experience
Company
Onvida Health
Onvida Health is a healthcare organization for behavioral health, orthopedics, and ENT services.
Founded in 1975
501-1000 employees
Funding
Current Stage
Late StageRecent News
Arizona Daily Star
2025-12-09
Company data provided by crunchbase