Job Description

DEPARTMENT OF VETERANS' SERVICES

For Veterans and those who care for them.

MEDICAL PAYMENTS RECOVERY SPECIALIST

Job Location:

Address:
Arizona State Veterans' Home -Phoenix
4141 N S. Herrera Way
Phoenix, Arizona 85012

Posting Details:

Salary: Up to $19.80/Hour (DOE)

Grade: 16

Closing Date: July 22, 2024

Job Summary:

The Arizona State Veterans' Home in Phoenix seeks a meticulous and dedicated Medical Payments Recovery Specialist to join our finance team. This role is crucial for someone with a keen eye for detail and a passion for making a significant impact through meticulous financial management. If you want to apply your skills in a mission-driven environment that benefits our veterans, this position is for you.


As a Medical Payments Recovery Specialist, you will be integral to the billing and collections process, ensuring the timely and accurate reimbursement of resident fees from various payers, including private pay, insurance companies, VA per diem, Medicaid, and Medicare. This role involves detailed work with billing systems, claims tracking, and customer service to maintain our financial health and support our veteran-centered care mission.



Your Impact:

• Billing and Collections: Manage initial billings, follow-ups, and appeals to ensure that all resident fees are accurately billed and collected from various payers.
• Financial Management: Handle daily inputs in the accounts receivable system, including ancillaries/charges, payments, adjustments, and resident file maintenance.
• Insurance Verification and Reporting: Verify insurance coverage, prepare billing reports, and maintain logs required for Medicare annual cost reports.
• Trust Fund Oversight: Oversee the Resident Trust Fund, including processing deposits and withdrawals and assist residents and their families with fund transactions.
• Customer Interaction: Handle inquiries regarding trust and statement balances, prepare monthly statements for private pay accounts, and engage in collection efforts.

Why Join Us?

• Meaningful Mission: Directly contribute to the care and support of veterans by ensuring financial operations support their comprehensive care needs.
• Professional Growth: Engage in continuous learning and improvement through the Arizona Management System (AMS), enhancing your skills and contributing to organizational efficiency.
• Supportive Environment: Work in a setting that values precision, accountability, and the well-being of our nation's heroes.

Job Duties:

As a Medical Payments Recovery Specialist you will:

• Submit initial billings to payer sources and follows up, as needed
• Prepare a variety of correspondence and supporting documentation for appeals
• Consistently tracks claims on an ongoing basis; researches denials and resubmits, as needed
• Input ancillaries/charges, payments, adjustments, daily census and resident file maintenance in a computerized accounts receivable system
• Correct electronic and paper billing errors in a timely manner; remains current with coding and billing updates
• Verify insurance coverage
• Prepare billing reports and maintains billing logs, as required by Medicare for annual cost reports
• Oversee Resident Trust Fund to include processing daily deposits to and withdrawals from Resident Trust Fund; assists residents and/or family members/responsible parties who wish to deposit funds to resident’s account
• Prepare monthly statements for all private pay accounts and is responsible for collection efforts
• Conduct phone and in-person inquiries regarding trust and statement balances
• Prepare a variety of correspondence such as collection letters, 30-day notices
• Participate in posting end of month ancillaries
• Actively involved in AMS processes such as Huddle Boards, Problem Solving, Job Breakdown sheets, Success Tracking and Standardized Work
  
  

Knowledge, Skills & Abilities (KSAs):

Knowledge of:

• Regulations and policies governing agency
• Department of policies and procedures
• Procedures for billing insurance companies, Medicare, Medicaid, VA and private pay
• Accounting principles related to accounts receivable
• Principles and practices of the collection process
• Report preparation
• Medical terminology
• Billing codes and rules
• Legal terminology

Skills in:

• Verbal and written communication
• Interpersonal communication
• Data entry
• Basic math
• Researching
• Analyzing data
• Problem solving
• Customer service
• Negotiating settlements/agreements
• Using computers

Ability to:

• Maintain confidentiality with regard to resident accounts and medical records
• Research and compile fiscal and statistical data
• Analyze and interpret fiscal and statistical data
• Prioritize multiple tasks
• Learn State’s automated accounting system
• Learn department policies and procedures

Pre-Employment Requirements:

• Current Negative TB skin test (Mantoux skin test) within the last twelve months or a written statement from a physician, physician’s assistant or a registered nurse practitioner indicating freedom from Tuberculosis, if in the past has had a positive skin test or Tuberculosis
• Must be able to obtain and retain a fingerprint clearance card issued by the Arizona Department of Public Safety This position requires the ability to drive on State business. Requires possession of and ability to retain a current, valid state-issued driver's license appropriate to the assignment. Employees who drive on State business are subject to driver's license record checks, must maintain acceptable driving records and must complete any required driver training (see A.AC. R2-10-207.11).
  

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

The Arizona Department of Veterans' Services offers a comprehensive benefits package to include:

• Sick leave
• Vacation with 10 paid holidays per year
• Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child (pilot program).
• Health and dental insurance
• Retirement plan
• Life insurance and long-term disability insurance
• Referral Incentives available for qualifying positions
• Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance

Retirement:

• Positions in this classification participate in the Arizona State Retirement System (ASRS)
• Please note, enrollment eligibility will become effective after 27 weeks of employment
  
  

Contact Us:

If you have any questions please feel free to contact Human Resources at recruiting@azdvs.gov and (602) 781-7032 for assistance. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

Job Tags

Similar Jobs