Medical Accounts Receivable Specialist - Hybrid Schedule Job at Adelante Healthcare

Adelante Healthcare Phoenix, AZ 85012

Medical Accounts Receivable Representative - Hybrid Remote Schedule Available

3033 N. Central Ave Suite 145, Phoenix 85012

Who Are We?

At Adelante Healthcare, we believe that healthy people create healthy communities. Our mission is to improve the health of our communities by providing the highest level of primary and preventive care, making it affordable for everyone. For over 40 years, we have been dedicated to serving our communities by providing healthcare to those most vulnerable by offering health care services at nine locations throughout Maricopa County. By joining the Adelante Healthcare team, you become part of a patient centered caring organization that is playing a vital role in helping our communities.

OUR AMAZING BENEFITS

We offer a culture that values caring, professional development, growth, and sustainability. We provide a comprehensive and competitive benefits program including:

· Medical, Dental, and Vision available DAY ONE!

· 3 weeks Paid Time Off annually

· 10 paid Holidays annually

· 403b Retirement Account Savings Plan

· Tuition Reimbursement for eligible programs

· Employer-paid Short Term and Long Term Disability

· And MORE

WHAT YOU'LL NEED TO HAVE

High School Diploma or GED from an accredited institution, AND greater than (3) years’ experience in a medical accounts receivable roles such as:

  • Accounts Receivable Representative
  • Patient Collections

As well as the following:

  • 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
  • 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

WHAT YOU'LL BE DOING DAY TO DAY

  • Review outstanding claims to determine what action needs to take place and make status calls to insurance companies
  • Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment
  • Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients
  • Answer patient calls relating to questions about their bills
  • Update demographic and payer related information obtained from the patient
  • May correct errors including misapplied payments/adjustments and applying account credits
  • Prepare refund requests for management approval
  • Responsible for the generation and mailing of claims
  • Work payer rejects and denials
  • Support and train site checkout staff
  • Support management on special projects
  • Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools

***As a community health center, we have a unique responsibility to keep our facilities as safe as possible and to protect our patients and team members. With this in mind, you will be required to comply with all vaccine mandates, including the COVID-19 and Flu Vaccine programs which will include acquiring the vaccines or an exemption. This policy is consistent with our mission to provide a safe and healthy environment for our patients, providers, and employees.

As an Affirmative Action and Equal Opportunity Employer, Adelante Healthcare is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities, and people with disabilities are strongly encouraged to apply.***

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Benefits:

  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • Vision insurance
  • Work from home

Schedule:

  • Monday to Friday

Work Location: Hybrid remote in Phoenix, AZ 85012




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