DEPARTMENT OF VETERANS' SERVICES

For Veterans and those who care for them.

MEDICAL PAYMENTS RECOVERY SPECIALIST

Job Location:

Address:
Arizona State Veterans' Home -Phoenix
4141 N S. Herrera Way 
Phoenix, Arizona 85012

Posting Details:

Salary: Up to $19.80/Hour (DOE)  

Grade: 16

Closing Date: Open Until Filled

Job Summary:

The Arizona State Veterans' Home in Phoenix seeks a meticulous and dedicated Medical Payments Recovery Specialist to join our finance team. This role is crucial for someone with a keen eye for detail and a passion for making a significant impact through meticulous financial management. If you want to apply your skills in a mission-driven environment that benefits our veterans, this position is for you.

As a Medical Payments Recovery Specialist, you will be integral to the billing and collections process, ensuring the timely and accurate reimbursement of resident fees from various payers, including private pay, insurance companies, VA per diem, Medicaid, and Medicare. This role involves detailed work with billing systems, claims tracking, and customer service to maintain our financial health and support our veteran-centered care mission.

Your Impact:

• Billing and Collections: Manage initial billings, follow-ups, and appeals to ensure that all resident fees are accurately billed and collected from various payers.
• Financial Management: Handle daily inputs in the accounts receivable system, including ancillaries/charges, payments, adjustments, and resident file maintenance.
• Insurance Verification and Reporting: Verify insurance coverage, prepare billing reports, and maintain logs required for Medicare annual cost reports.
• Trust Fund Oversight: Oversee the Resident Trust Fund, including processing deposits and withdrawals and assist residents and their families with fund transactions.
• Customer Interaction: Handle inquiries regarding trust and statement balances, prepare monthly statements for private pay accounts, and engage in collection efforts.

Why Join Us?

• Meaningful Mission: Directly contribute to the care and support of veterans by ensuring financial operations support their comprehensive care needs.
• Professional Growth: Engage in continuous learning and improvement through the Arizona Management System (AMS), enhancing your skills and contributing to organizational efficiency.
• Supportive Environment: Work in a setting that values precision, accountability, and the well-being of our nation's heroes.

Job Duties:

As a Medical Payments Recovery Specialist you will:

• Submit initial billings to payer sources and follows up, as needed
• Prepare a variety of correspondence and supporting documentation for appeals
• Consistently tracks claims on an ongoing basis; researches denials and resubmits, as needed
• Input ancillaries/charges, payments, adjustments, daily census and resident file maintenance in a computerized accounts receivable system
• Correct electronic and paper billing errors in a timely manner; remains current with coding and billing updates
• Verify insurance coverage
• Prepare billing reports and maintains billing logs, as required by Medicare for annual cost reports
• Oversee Resident Trust Fund to include processing daily deposits to and withdrawals from Resident Trust Fund; assists residents and/or family members/responsible parties who wish to deposit funds to resident’s account
• Prepare monthly statements for all private pay accounts and is responsible for collection efforts
• Conduct phone and in-person inquiries regarding trust and statement balances
• Prepare a variety of correspondence such as collection letters, 30-day notices
• Participate in posting end of month ancillaries
• Actively involved in AMS processes such as Huddle Boards, Problem Solving, Job Breakdown sheets, Success Tracking and Standardized Work
  

Knowledge, Skills & Abilities (KSAs):

Knowledge of:

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