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Tucson, Arizonatime type:

Full timeposted on:

Posted Todayjob requisition id:

JR58132**JOB DESCRIPTION SUMMARY**Responsible for establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and negotiating service contracts with managed care organizations, government agencies, and other payers.**ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES**1.

Adheres to all laws, statutes and regulations regarding anti-kickback, lawful marketing activities (gifts and services), patient solicitation, and accurate marketing materials.2.

Ensures maximum third-party reimbursement through effective negotiation of service contracts with managed care organizations, government agencies, and other payers.3.

Establishes and maintains positive working relationships with current and potential referral and payer sources.4.

Builds and monitors community, customer, payer and patient perceptions of Organization’s Name as a high-quality provider of services.5.

Assist in strategic planning including identifying opportunities for additional or improved services to address customer needs.6.

Maintains comprehensive working knowledge of the Agency markets including government agencies, major payer groups, key referral sources, and competitor’s market positioning.7.

Maintains comprehensive working knowledge in the field of marketing and shares information with appropriate organization personnel.8.

Maintains comprehensive working knowledge of community resources and assists customers in accessing community resources should services not be provided by the Agency.9.

Monitors and reports cost effectiveness of marketing efforts.The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job.

The incumbents may be requested to perform job-related tasks other than those stated in this description.The employer for this position is stated in the job posting.

The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.

Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.

More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.Agape Hospice is a Local Tucson hospice, committed to providing the highest quality, patient-centered hospice services to our patients. We firmly believe that we are here to help patients and their families on the end of life journey in 3 main ways:1. Providing comfort where there is pain2. Providing solutions where there are challenges3. Providing peace in the midst of chaosWe are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.
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Tucson, Arizonatime type:

Full timeposted on:

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UHC: FPBO - Team C

Job Summary:

The Collector performs A/R collections and billing via assigned special projects, involving multiple insurance contracts & entities.

Verifies that patient services are coded correctly and payment has been applied properly.

Analyzes and audits accounts for correct balance, proper follow-up and complete reimbursement.

Monitors collection issues and resolves with payor.

Processes phone-online and paper inquiries and correspondence taking appropriate collection actions that may include:

working rejections/denials, calling for status, tracer claims and rebilling.

Identifies misapplied payments and requests payments, adjustments/transfers or refunds.

Performs other duties as needed.

Education and Experience:

High School Diploma or GED required.

College level courses in Business and/or

Accounting preferred.

Minimum three years previous experience in Commercial/Contract or Managed Medi-Cal billing, auditing and collecting preferred. Epic experience preferred.

Knowledge and Skills:

Knowledge of Government/CPT and ICD coding, medical terminology and the ability to read and interpret EOBs required. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications:

None

Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
","Department:

UHC: FPBO - Team C

Job Summary:

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Inc. is the voice of the American entrepreneur, inspiring and documenting the risk-takers and ultra-driven go-getters who represent the most dynamic force in the American economy.
Fast Company is the world’s leading business media brand, focusing on innovation in technology, leadership, and design to inspire readers to shape the future of business.

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