Collections Specialist (Remote - Arizona Residents Only)
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Position Details
Department: CORP | Physician Revenue Cycle
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Financial Services
Posting #: 1015877
Employee Type: Full-Time
Position Summary
Posting Note:
Job Title: Collections Specialist – AHCCCS Collections / Follow-Up
Location: 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
Education
High School Diploma or equivalent.
Experience
Minimum 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 Skills
Ability 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 Qualifications
Experience 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, & Values
Mission
To advance hope, healing and the best healthcare for children and their families
Vision
Phoenix 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 specialties
- Investing in innovative research, including emerging treatments, tools and technologies
- Advancing education and training to shape the next generation of clinical leaders
- Advocating for the health and well-being of children and families
Values
- We place children and families at the center of all we do
- We deliver exceptional care, every day and in every way
- We collaborate with colleagues, partners and communities to
