Revenue Cycle Clerk
5 days ago
Phoenix
Job Description ABOUT ADOBE Adobe Population Health (APH) is a women-owned health solutions company founded in 2018 committed to positively impacting the lives we touch. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized the last two years as one of “America's Fastest-Growing Private Companies” by Inc. 5000 and has earned a "Best Places to Work" award from the Phoenix Business Journal four years in a row. As one of the country's few fully integrated healthcare providers, APH offers a range of services which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. APH offers customized services for Medicaid, Medicare, and the ACA/Marketplace lines of business. POSITION PURPOSE Adobe Population Health is seeking a passionate and results-oriented individual to join our team as a Revenue Cycle Clerk. As a Revenue Cycle Clerk, you will play a key support role in the daily operations of our revenue cycle. You will assist the Revenue Cycle Lead with claims processing, invoicing, payment posting, adjustments, and follow-up activities. This role requires someone with existing knowledge of medical billing, coding (CPT, HCPCS, ICD-10), and insurance processes, who can confidently handle claims and related tasks with accuracy and efficiency. You will work directly with billing clearinghouses, insurance companies, and internal teams to ensure claims are processed correctly and payments are posted in a timely manner. Your contributions will help maintain smooth workflows, accurate financial records, and effective revenue management. This role is ideal for a detail-oriented professional who thrives in a collaborative environment and takes pride in supporting a well-organized, compliant revenue cycle. This role is based out of our Phoenix Office, conveniently located off the 51 Freeway (Glendale Ave. and 16th St.). DUTIES & RESPONSIBILITIES Managing Claims (60%) • Monitoring the status of claims in the clearinghouse and resolving any issues or errors, • Utilize billing clearinghouses for claim submission, status checks, and resubmissions, • Collaborating with the IT team to update and maintain billing records and databases, • Reconciling accounts and generating reports on revenue cycle performance, • Reconciling EHR data with claims data submitted to health plans to proactively identify missing or inaccurate claims, • Preparing, maintaining, and analyzing aging reports and statements, • Assist with communication to internal teams and payers to address any questions or concerns, • Assist with reviewing, reconciling, and processing medical claims to ensure accurate billing, • Support the creation and distribution of invoices in a timely and accurate manner, • Support follow-up on outstanding accounts receivable to minimize aging balances, • Maintain accurate records and reports on billing, payments, and collections activity, • Maintain compliance with federal, state, and local regulations and policies, • Adhere to HIPAA and other compliance regulations in all tasks, • Perform other clerical and administrative tasks as assigned SKILLS & QUALIFICATIONS • 1+ years of experience in medical billing, claims, or revenue cycle management, • Strong knowledge of CPT, HCPCS, and ICD-10 codes, • Microsoft Office including Outlook and Excel, • Proactive/Self-Starter Mindset, • Strong Analytical and Critical Thinking Skills, • Detail Oriented and Highly Organized, • Curiosity & Flexibility EDUCATION, LICENSES, & CERTIFICATIONS • High School Diploma or equivalent required., • Associate’s degree preferred. Any of the following will be useful for the candidate to have, but are not required: • AAPC Certified Professional Biller (CPB) Certification, • Knowledge of payer-specific requirements and EOB interpretation, • Experience with Change Healthcare, • Experience with Salesforce, • Experience with Sage Intacct, • Basic understanding of Generally Accepted Accounting Principles (GAAP) BENEFITS & TOTAL REWARDS • Paid Onboarding and Training, • Insurance – Medical, Dental, Vision, and Life, • 401k Plan – 3% match, • Employee Assistance Program, • Tuition Reimbursement, • Continued Education Support, • Mileage Reimbursement (if applicable), • Referral Bonuses, • 9 Paid Holidays, • 15 Days of Paid Time Off, • Paid Volunteer Hours CHARACTER & COMPETENCIES • Courage – To have the courage to the right thing at the right time., • Ownership – To take ownership of every issue you touch., • Respect – To respect yourself, co-workers, and for those whom you care., • Excellence – To be excellent in all that you do., • Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce., • Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values., • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events., • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments., • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things., • Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions., • Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics., • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments., • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. PHYSICAL DEMANDS & WORK ENVIRONMENT • Occasionally required to stand., • Occasionally required to walk., • Continually required to sit., • Occasionally required to climb, balance, bend, stoop, kneel, or crawl., • Occasionally required to be exposed to warm or cool spaces., • Continually required to talk or hear., • While performing the duties of this job, the noise level in the work environment is usually moderate., • May occasionally lift and /or move more than 30 pounds., • Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing. EQUAL EMPLOYMENT OPPORTUNITY APH is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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