Pre-Billing & Financial Liaison - Billing Specialist III - Phoenix, AZ - Sign on Bonus up to $7,500 effective through 01/31/2023

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

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 3 to 5 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:

• 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.

Hiring Manager: Martha Greer