Accounts Receivable Representative II

Job DetailsJob Location: Adelante Healthcare Center Support Office - Phoenix, AZ 85012Position Type: Full TimeEducation Level: HS Diploma from accredited schoolJob Category: Health CarePOSITION SUMMARY

The Accounts Receivable Representative II is primarily responsible for effective collection on patient accounts, accounts receivable follow-up, and reimbursement analysis, participate in special billing projects, and other tasks as assigned.

EXPECTATIONS

Every Adelante Healthcare employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day.  Employees are expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism, and competence.

OUR CORE VALUES

Inclusion
Nurture
Service
Purposeful
Integrity
Resilient
Engaged
QualificationsESSENTIAL SKILLS AND EXPERIENCE:

Two (2) year college degree preferred AND greater than (3) years’ experience in a medical accounts receivable roles such as: 

Accounts Receivable Representative 

Patient Collections 

High school diploma or GED from an accredited institution  

Working knowledge of medical, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies  

Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA 

FQHC experience strongly preferred 

Family practice, pediatrics, internal medicine and OBGYN strongly preferred 

NextGen experience preferred 

Provide excellence in customer service with ability to interact with and instruct colleagues from beginner to advance levels 

Working knowledge of current Microsoft Office applications  

Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment 

Prioritization and multi-task skills are required 

Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations  

POSITION REPONSIBILITIES

Answer patient calls relating to questions about their bills


Review delinquent accounts and initiate appropriate collection action, including making outbound collection calls, sending collection correspondence to patients, and reviewing for submission to collection agency

Update demographic and payer related information obtained from the patient


May correct errors including misapplied payments/adjustments and applying account credits


Review credit balances and prepare refund requests for management approval


Responsible for the generation and mailing of claims


Review and process rejected claims for submission to payers

Assist site checkout staff and schedulers with billing questions/concerns


Complete adjustment projects


Support management on special projects as requested


Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools

NONESSENTIAL SKILLS AND EXPERIENCE:

Demonstrated experience as an Advocate for Health Care or Human Rights 

Certification as Revenue Cycle Representative (CRCR,HFMA) 

Certification as professional coder (CPC, AAPC) 

Bachelor’s degree in Accounting, Finance, or other relevant field of study 

Fluency in a language in addition to English (Spanish preferred) 

Additional Duties and Responsibilities

Other duties as requested or assigned

Patient Centered Medical Home (PCMH) and Integrated Care Team (ICT)

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Code of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use han