Collections Specialist (Remote - Arizona Residents Only)

Collections Specialist (Remote - Arizona Residents Only) Apply! Apply! Position DetailsDepartment: CORP | Physician Revenue CycleLocation: TelecommutingShift: Mon-Fri, Days, 8am-5pmCategory: Patient Financial ServicesPosting #: 1015877Employee Type: Full-TimePosition SummaryPosting Note: Job Title: Collections Specialist – AHCCCS Collections / Follow-UpLocation: Fully Remote (Must Reside in Arizona)Schedule: Full-Time – 8-hour shift between 6:00 AM – 5:30 PM (flexible start times)Position Summary:We are seeking a detail-oriented Collections Specialist with healthcare accounts receivable experience to support AHCCCS and insurance collections. This role is responsible for performing follow-up with payors, resolving outstanding claims, and helping reduce accounts receivable within a healthcare environment. The ideal candidate will have strong knowledge of payer processes, insurance collections, and appeals management. Experience in a multispecialty medical environment is highly preferred.Key Responsibilities:Perform follow-up with payors regarding outstanding claims, including AHCCCS and commercial insurance accounts.Investigate and resolve denied or delayed claims to ensure timely reimbursement.Submit and track insurance appeals as necessary.Work to reduce accounts receivable balances and meet collection goals.Review claim status, identify billing issues, and coordinate resolution with internal teams.Ensure compliance with payer policies, contractual requirements, and governmental regulations.Maintain accurate documentation of collection activities and follow-up actions.Required Qualifications:EducationHigh School Diploma or equivalent.ExperienceMinimum of two (2) years of experience performing collection activity and reducing accounts receivable in a healthcare setting.Experience with healthcare A/R collections and insurance collections.Experience with claims appeals.Special SkillsAbility to follow payer and governmental requirements as required by the organization.Strong problem-solving and follow-up skills.Knowledge of healthcare billing and reimbursement processes.Preferred QualificationsExperience working with AHCCCS payors.Multispecialty Medical Practice Experience Strongly Preferred.If you are experienced in healthcare collections and enjoy working in a fast-paced revenue cycle environment, we encourage you to apply.This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.Position Duties Bills both electronically and manually, as needed, and uses all technology available to produce clean claims. Interprets claims processing reports and applies information to produce clean claims. Maintains current knowledge of regulatory billing requirements. Makes changes to demographic information as necessary in order to produce a clean claim. Meets or exceeds productivity standards in the completion of daily assignments and accurate production. Analyzes coding to assure proper billing of claim. Participates in a variety of hospital educational programs to maintain current skill and competency levels. Requests and attaches required clinical documentation in accordance with third party requirements. Services accounts in priority of importance, independently billing accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximized turnaround time. Performs miscellaneous job related duties as requested. Phoenix Children's Mission, Vision, & ValuesMissionTo advance hope, healing and the best healthcare for children and their familiesVisionPhoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.We realize this vision by:Offering the most comprehensive care across ages, communities and specialtiesInvesting in innovative research, including emerging treatments, tools and technologiesAdvancing education and training to shape the next generation of clinical leadersAdvocating for the health and well-being of children and familiesValuesWe place children and families at the center of all we doWe deliver exceptional care, every day and in every wayWe collaborate with colleagues, partners and communities to amplify our impactWe set the standards of pediatric healthcare today, and innovate for the futureWe are accountable for making the highest quality care accessible and affordableApply for this position?First Name *Last Name *Phone *Email Address *Good News! Your email account already has already been registered. Provide your password for quicker access.Password *You must login to continue!Forgot your password? - You may click here to reset it.Resume Upload *Note, ONLY 1 attachment will be visible to system per applicant for all applications per active profile. When you upload your resume, our system will attempt to update your profile here, which may overwrite previously completed fields. The attached file is accepted as the resume. It is also allowable to combine both the resume (positioned first in the file) followed by a cover letter into the one file attachment. Please upload a PDF or DOCX version of your resume. Resumes created in Mac Pages should be exported as PDF before uploading or drag your file to this boxAre you a current or former employee? *PCH Network ID:PCH Password:SSN:DOB:×Desired pay?How did you hear about this position? College/University Event Direct Mail Employee Referral Internal Transfer Job Board Job Fair Journal Newspaper Open House Professional Association Radio Retained to Agency PCH Website Social Media (FB, Twitter, LinkedIn) OtherWho referred you * Which department do they work in? Do you know their phone number/email?Position Qualifications Please review the following qualifications and specify whether you meet each of the requirements listed.Education Do you meet this requirement or have the ability to obtain itwithin the timeframe listed in the requirement? High School diploma or equivalentRequiredYes NoExperience Do you meet this requirement or have the ability to obtain itwithin the timeframe listed in the requirement? Two (2) years of experience with collection activity and reduction in A/R withina health care setting.RequiredYes NoSpecial Skills Do you meet this requirement or have the ability to obtain itwithin the timeframe listed in the requirement? Follow any payer or governmental requirement as required by the organization.RequiredYes NoPhysical Requirements & Occupational Exposure/Risk Potential Physical Requirement - Hearing - Constantly Physical Requirement - Reaching - Occasionally Physical Requirement - Sitting - Constantly Physical Requirement - Standing - Occasionally Physical Requirement - Talking - Constantly Physical Requirement - Walking - Occasionally Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly Physical Requirement - Lift up to 35 pounds without assistance - OccasionallyI have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to applyI Agree