PHI Air Medical
  • - 3625F - Admin-FIN-EMS-Mgmt
  • Phoenix, AZ, USA
  • Full Time 5&2

JOB SUMMARY

  • Analyze payer denials and payments to determine proper resolutions within the software system.  
  • Assist the Revenue Cycle Manager to determine root causes of denials or low payments.
  • Assists with other special activities and responsibilities as required.
  • Contact payers and determine best contact and responsible party for proper resolutions.
  • Contact insurance companies for payer resolutions status.
  • Designs/utilizes a variety of reports to identify payer behavior.
  • Participates in staff meetings and recommends claim requirement changes to ensure a clean claim is processed to the payer.
  • Responsible for generating and distributing daily, weekly, and monthly payer resolution reports.
  • Review, analyze, and evaluate payer information to determine resolution.
  • Resolve payer issues in a timely and compliant manner for maximum reimbursement.
  • Work closely with PFS Staff for status of claims or review of expected results from payer.
  • Maintains a strict level of confidentiality for all company, departmental, and healthcare provider information.
  • Perform other duties as requested.

JOB SUMMARY/LOCATION

  • 5 & 2
  • Phoenix, AZ

QUALIFICATIONS/EXPERIENCE

  • Detailed knowledge and ability to understand payer regulations and requirements.
  • Billing/Revenue Cycle knowledge required.
  • Advanced Excel knowledge required.
  • Excellent work habits, including a willingness to work the hours necessary to get the job done.

CORE COMPETENCIES

  • Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
  • Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization. 
  • Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
  • Service. We are dedicated to the service of our customers, our communities and each other.

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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