Job Summary and Responsibilities

*Fully Remote Position*

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 assignedA/R. All denied accounts to be worked via Cerner and have accurate action taken assigned for completion.
Job Requirements

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

Experience with Google Work place applications

Cerner and FinThrive

Where You'll Work

At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career.

What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.

As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors.

· It is an inviting community with bygone charm and modern amenities.

· Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures.

· The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family.

Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care has earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020) and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and has placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott has to offer! #hellohumankindness

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.