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

JOB SUMMARY

  • Performs daily quality review of all outbound claims to include billing matrix deletions, adds and edits
  • Provides oversight of the daily electronic claims submissions to include review of claims rejections and resubmissions
  • Provides quality review of all outbound appeals submissions to include appeal matrix deletions, adds and edits
  • Provides PFS system library oversight to include the insurance library (constant deletions, adds and edits)
  • Performs insurance library review for claims submissions and medical record requirements
  • Performs audit review of all SharePoint KTP items to ensure processes match current practices on accounts
  • Performs research to identify specific claim requirements for new program implementation 
  • Summarizes findings with recommendations to management for appropriate actions to be taken and follow up
  • Responsible for supporting company Safety Management System activities.
  • Complying with company HS&E policies and procedures
  • Understand and provide visible support of Destination Zero.
  • Other duties and responsibilities as assigned.

SCHEDULE/LOCATION

  • 5 & 2
  • Phoenix, AZ

QUALIFICATIONS/EXPERIENCE

  • High School Diploma or GED Equivalen
  • Have 3 years of previous experience in medical billing, emergency medical services, medical dispatching, patient registration
  • Some college preferred with substitution for experience to include supervisory or direct system experience.
  • Must demonstrate advanced proficiency in Microsoft Office, Word, Excel, PowerPoint and preferably Microsoft Project.
  • Must be able to pass a pre-placement drug test and background screen

SALARY

  • Regular pay scale applies

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.



This position has been closed and is no longer available.
PHI Air Medical

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