Terros Health

  • Revenue Cycle Specialist

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2749
    # of Openings
    1
    Category
    Billing & Reimbursements
    Program
    Billing & Collections
    Weekly Hours
    40
  • Overview

    Terros Health, Inc. is a four decade old, fully integrated community healthcare provider: With over 30 clinics throughout the Phoenix metro area, including Tucson, Flagstaff and Prescott Arizona. We have an exciting and immediate need for an experienced Revenue Cycle Specialist. As one of the state’s leading, healthcare providers: Terros Health offers great work-life-balance, and continued career progression. Each new hire is eligible to participate in our best-in-class employee benefit plan the 1st of the month following their date of hire.

    Benefits include:

    • Medical insurance: PPO Health Reimbursement, HDHP Health Savings Account, and a traditional PPO
    • Vision insurance
    • Dental and Orthodontics insurance
    • Flexible Spending Accounts
    • Accidental Death & Dismemberment insurance
    • Disability insurance
    • Paid Life insurance
    • 401K with company matching (Company matching after 6 months of employment)
    • Employee Assistance Program
    • Financial Consultation and Referrals
    • Family & Caregiving Resources and Referrals
    • Legal Consultations
    • Paid Holidays
    • Generous paid time off/Vacation time
    • Paid sick time
    • Tuition discounts through our strategic partnership
    • Employee discounts on car rental through Enterprise Rental Car

    If you've been in search of a growing organization with a forward thinking, and caring culture: Terros Health may be the company you’ve been looking for.

    Responsibilities

    A Revenue Cycle Specialist reviews and prepares healthcare insurance claims for multiple lines of business. He/she has the knowledge to process claim rejections and denials in accordance with both state and federal guidelines.

    ____________________________________________________________________________________________________

    • Duties and Responsibilities:
    • Reviews and/or completes charge entry as required by contract
    • Required to meet month end close dates
    • Prepares grant invoicing for services rendered
    • Completes all necessary insurance forms (i.e. HCFA 1500, UB04, etc.) to process the proper billing information in a timely manner as required by contract.
    • Transmits daily all electronic claims to payers
    • Submits claims within 24 hours of claim create date
    • Escalates trends and/or submission delays to management
    • Processes and resolves claim rejections and denials (min. 150 daily) and/or escalates cases when appropriate
    • Submits corrected or voided claim accordance to the national standard
    • Completes claim notes on all worked claims
    • Performs coding reviews
    • Must meet production expectations set by management
    • Any other duties assigned.

    Qualifications

    • High School Diploma required, prefer an Associate degree in administration or equivalent experience in billing, finance or business administration and at least 2yrs experience.
    • Experience in specific area of work applied for such as healthcare services, customer service and medical records.
    • Worked in a production-based environment before and is a custom to being held to a high standard of productivity
    • Above average skills in Excel and Word. Ability to creates and use Pivot Tables and V-Lookup Functions.
    • Functional knowledge of CMS/HRSA/AHCCCS guidelines
    • Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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