Patient Account Representative II - Patient Billing Services
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Overview
Job Description
Primary City/State:
Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027Category:
Patient ServicesShift:
DayDepartment:
Business OperationsM-F 8-4:30, Hybrid Role
Great care starts with great people. (Like you.)
At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.
Responsibilities:
- Responsible for research and secure payment for insurance accounts:Follow up required daily accounts based on work queue assignment to reduce the A/RSubmit appeal letters on unpaid and underpaid claimsParticipate in accounts receivable collections projects as needed to meet department goalsContact insurance companies to follow up on denials and correspondenceContact patients regarding insurance related issuesResearch recoups and repayments to assure that payments are accurate and comply with Medicare and Managed care contracts payment methodologiesWork the electronic denial file (835b) to ensure clean claim submissionReview Charge review work queues as assigned.
- Responsible for research and secure payment for patient balances:Follow up required daily accounts based on account work queue assignment to reduce the cash pays A/RSSubmit final letters to delinquent accountsAnswer incoming patient callsProvide support to the clinics as needed during patient care hoursCollection calls to patients to collect past due balancesProcess credit card payments and post within the patient billing systemSet up payment plans for patientsReview statements to ensure accuracyActs as a liaison between patient, practice and insurance carrier regarding complaints and problemsWork with statement and bad debt vendors on disputes and ensure accuracy of accountsWork return mail to update accounts to ensure accuracy
- Performs routine data entry and/or review of claim edit work queues:Input charges for physician billingCorrect denials that have dropped to the claim edit work queues timelyMaintains current knowledge of regulatory billing requirements for the specified payers and various specialty specific limitation or payer expectationsProcess the electronic claims batch daily and initiate the printing of paper claimsReview Charge review work queues as assigned
- Handles all payments and correspondence received in the central business officeProcesses all EFT/ERA, lockbox, mail, POS, phone paymentsProcesses credit cardsCreates payment batches and scans all correspondence into patient billing systemProcesses deposits for all incoming payment, including POS from multiple clinicsSets up courier service for new clinicsPosts payments and denials into patient billing systemProcesses ERA payments and works error work queuePerforms daily batch reconciliationFollow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments
- Follows departmental functions:Prioritize work to minimize interruptions and increase efficiency in collections processParticipate in daily DMS huddle, and all department meetingsProvide five-star customer service, to include patients, coworkers, vendors and managementEstablish and maintain and efficient filing systemMaintain clean and organized work areaCommunicates and engages effectively with othersCommunicates and participates in training classes as needed to keep current with daily operationsWork in a team environment and participate in constructive feedbackAbility to handle numerous tasks simultaneously and with flexibility
- Performs other duties as assigned.
- High School Diploma or GED Required
- 2 years, healthcare billing and collections experience in a medical practice or healthcare organization Required
- 5 years, healthcare related medical professional billing and collections experience. Preferred
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