PHI Air Medical
  • - PFS
  • Phoenix, AZ, USA
  • Full Time

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PHI Air Medical is America's premier full-service air ambulance provider. We are currently looking for a Strategic Operationss Team member ready to join our team of skilled and dedicated individuals supporting the mission of safety, quality care and customer service. This opportunity is for our central Phoenix medical billing location and is for regular business hours. Competitive salary and benefit package includes medical and dental insurance, 401K and vacation and sick time.

We have an exciting opportunity for a Strategic Operations Team member with 3-5 years previous experience in a medical billing and collections environment. Must be proficient in Microsoft Office – Word and Excel and must demonstrate excellent oral and written communication skills.

JOB SUMMARY:The Strategic Operations Team (SOT) is based on the need for ongoing A/R and production projects and oversight of certain functions that are outside of the normal scope of existing staff roles and formalized job descriptions. The expectation of the position is that a SOT member can perform any role and understand all parts of production. They will be expected to audit, perform CQI, provide training, back up positions and provide feedback and reporting to management of all discoveries and suggested production improvements.

SKILLS AND REQUIREMENTS OF THE POSITION

Members of the SOT must meet all qualifications for an MBS III level position to include additional skills and or seniority. They must possess billing and collection knowledge at a high level to act as an audit and training resource for staff and management. They must have the ability to research any issue or regulatory change in order to disseminate and train to staff. Team members should possess a high skill level in all software to include the ability to produce reports on Excel and/or Word. All members must demonstrate the ability to produce written communication to include appeal letters, training materials and executive summaries to management. This team should expect to manage multiple projects and priorities and have the ability to move into projects and roles without intensive coaching or training. Although there are set daily responsibilities, the majority of the responsibilities will be on a project basis.

DUTIES AND RESPONSIBILITIES:

  • Provides support in ensuring all prebilling functions are meeting production goals in a timely manner.
  • Provides oversight of legal accounts to include state specific research for lien requirements, estate searches and settlement funds.
  • Perform Closest Appropriate Facility review per PHI policy prior to billing Medicare claims.
  • Provide account review of all accounts submitted for agency transfer and write-offs to include balancing all programs per PHI policy.
  • Responsible for collections related activities focusing on payer, accounts or programs as directed by management.
  • Acts as a liaison for collection agencies and attorneys for all inquiries and information requests.
  • Understands all policies and procedures in order to ensure that training and auditing align with policies
  • Perform Attachment removals and TRW requests for assigned states
  • Performs claims CQI and logs error rates for production measurements
  • Assists management with month end reports to include financial liaison functions, account reviews, billing and ensuring CIPs are current
  • Provides oversight of any payer that is managed outside of existing systems and workflows (Maryland MD)
  • Update, audit and maintain reports and external tracking databases as directed by PFS management
  • Provides coverage for vacant positions or for any area when production is not meeting expectations
  • Provide on-the-job training for new hires and existing employees with additional training needs.
  • Performs payer projects to include management escalations, DOI submissions, appeals and basic collections.
  • Perform focused payer and program audits as assigned by management to identify issues to include assistance in correction of issues.
  • Other duties and responsibilities as assigned.

CORE COMPETENCIES:

  • Safety - Taking responsibility to put the tools and processes in place that will ensure your own safety and the safety of those around you. The key components of Safety are: System (SMS), Risk Management, Safety Assurance, Personal Responsibility, Discipline, Compliance (Integrity), and Capacity for Collective Action.
  • Efficiency - Ability to maximize the benefits and profits, while minimizing effort and expenditure. The key components of Efficiency are: Process Efficiency, Organizational Efficiency, Resource Allocation & Maximization, Measurement and Accountability, and Organizational Transparency
  • Quality - Meeting the customers' needs and conditions for success over the long term and to the greatest extent possible. The key components of Quality are: Leadership Position, Technology, Technical Proficiency, Measurement and Accountability, and Innovation.
  • Customer Service - Anticipates and meets the needs of both internal and external customers. Delivers high-quality products and services; is committed to continuous improvement. The key components of Customer Service are: Communication, Consistency, Accessibility, Reliability, and Maintaining an Honest, Respectful and Professional Relationship.

BEHAVIORAL COMPETENCIES:

  • Drive & Energy – The ability to maintain a fast pace and continue to produce during exhausting circumstances.
  • Functional & Technical Expertise – Allows the individual to add organizational value through unique expertise and serve as a resource to the organization within his/her area of expertise
  • High Standards – Sets the stage for continuous improvements, the adoption of best practices and ultimately influences organizational standards.
  • Initiative – Takes a proactive approach and takes action without being prompted.
  • Integrity – Acts ethically and honestly and applies those standards of behavior to daily work activities.

 

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