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

JOB SUMMARY

  • Acts as a patient advocate when discussing outstanding balances to include third party payer options and Medicaid qualification process
  • Basic understanding of payer fee schedules and claim requirements to include facility contracts
  • Categorize and quantify payer billing issues for resolution reporting to management
  • Demonstrate ability to contact insurances and government agencies in order to obtain eligibility, to process authorizations or discuss benefits and billing requirements
  • Demonstrate and maintain consistent customer focus in the face of adversity and change both internal and external
    Demonstrate proficiency in GH Live, GE/Centricity and external software as required
  • Demonstrates time management skills to support uneven volumes and monthly close requirements
  • Demonstrates understanding of insurance types, financial classes for support of compliant billing
  • Good working knowledge of HCPCS, CPT, ICD-9/ICD-10 codes, medical terminology and clinical documentation.
  • Identify appropriate contacts and develop/maintain a professional relationship with all facilities and first responders in order to obtain demographic information for billing
  • Identify clinical and dispatch document discrepancies per PHI policies in order to support compliant and accurate billing
  • May assist with special projects related to payer issues or overall collection shortfalls
  • Must demonstrate positive teaming, effective cooperation in all communication within established team and throughout the entire PFS department
  • Notify clinical and dispatch personnel of any document discrepancies per PHI policies in order to support compliant and accurate billing
  • Organize work through assigned queues to ensure all transports are billed accurately in a timely manner
  • Participate in increasing responsibility through ongoing training and expansion of duties
  • Perform, identify, collect and confirm insurance coverage to include obtaining prior authorization, third party liability and coordinator of benefits
  • Performs in-depth account review for proper clinical charts, dispatch, facility for support of compliant billing
  • Performs in-depth account review for proper field requirements for support of the compliant billing
  • Performs research for new payers and their compliant billing requirements
  • Proficiency in Microsoft windows, Excel, and word.  Proven ability to manage files and use all web based tools available 
  • Represents PHI in a customer centered and compassionate manner when contacting patients and their families to obtain billing information
  • Understand billing requirements and system requirements to bill all insurances in support of clean claims – electronic or paper
  • Understand billing requirements for all payers and programs and participate in ensuring claims are accurate prior to submission
  • Complying with Company HS&E policy and procedures
  • Responsible for supporting company Safety Management Systems activities
  • 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 equivalent.
  • Have 1 to 3 years of previous experience in medical billing/collections in a medical office, clinical site, or billing/collections office.
  • Knowledge of general office procedures and using office equipment.
  • Have PC skills and knowledge of Microsoft Office Word and Excel.
  • Must have prior experience with email and using the web.
  • 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.
PHI Air Medical
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