Specialist, Prebilling Lead

Join Our Life-Saving Team!

Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe.

With PHI Health you'll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If you're passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.

Job Summary:

The Specialist, Prebilling Lead plays a key leadership role in coordinating daily operations to ensure the accurate and timely follow-up of outstanding medical claims prior to billing. This position serves as a Subject Matter Expert (SME) and primary point of contact for escalated issues, process improvement, and staff support. Extensive knowledge of payer requirements, healthcare reimbursement practices, and a strong foundation in revenue cycle operations is leveraged to achieve success in the position.

Responsibilities Include:

• Serve as a Subject Matter Expert for complex account resolution, claim escalations, payer communications, and departmental procedures.
• Manage and resolve high-balance, aged, or escalated accounts, including advanced follow-up.
• Assist in improving prebilling workflows and processes to increase efficiency and reduce claim cycle times.
• Partner cross-functionally with billing, coding, and patient services teams to address denials, rejections, and underpayments.
• Generate and evaluate daily and weekly unbilled reports to identify issues and recommend corrective action to management.
• Stay up to date with current payer policies, medical billing guidelines, and industry regulations.
• Support training initiatives by mentoring new hires and existing staff on best practices, system use, and policy updates.
• Provide oversight of daily workflows, ensuring productivity standards are met within systems and among team members.
• Conduct account audits and deliver feedback and corrective action as needed to ensure quality and compliance.
• Review and approve timely filing actions, patient complaints.
• Act as a liaison with outside collection agencies, partner facilities, and other providers to address inquiries or requests.
• Demonstrate strong knowledge of insurance payers, including private, government, workers' compensation, auto, and others.
• Maintain a high level of professionalism and excellent communication skills, both written and verbal.
• Exhibit strong organizational skills with the ability to multi-task and prioritize in a fast-paced environment.
• Remain coachable and open to continuous improvement, process changes, and system updates.
• Perform other duties as assigned to support departmental and organizational objectives.
• Any other duties as assigned.
• Supports company Safety Management System activities and Destination Zero, complying with HS&E policies.

The Successful Candidate Will Have:

• High School Diploma or equivalent required; Associate's degree preferred.
• 3+ years of experience in medical collections or healthcare revenue cycle management.
• 1+ year in an SME, leadership or supervisory role preferred.
• Strong understanding of commercial, Medicare, and Medicaid payer policies.
• In-depth knowledge of healthcare billing systems and payer portals.
• Familiarity with Medicare, Medicaid, and commercial payer guidelines.
• Excellent problem-solving and critical thinking skills.
• Strong analytical, organizational, and communication skills.
• Ability to handle multiple tasks in a fast-paced environment.
• Proficiency in Excel and other Microsoft Office tools.
• This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.

Schedule/Location:

• 5&2
• Phoenix, AZ

Compensation and Benefits:

• We offer a range of competitive pay and benefits package to keep our teams happy, healthy, and invested.

Our Core Competencies:

• Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
• Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
• Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
• Service. We are dedicated to the service of our customers, our communities and each other.

Behavioral Competencies:

• Demonstrate Courage - You take initiative by standing up, speaking out and taking action about important issues and demonstrating confidence and candor even when you're uncomfortable or afraid.
• Motivate Your People - You foster a climate in which employees want to do their best, are valued for their strengths, and are encouraged to reach their full potential. You promote confidence and optimism even in the face of difficulty.
• Build Relationships - You are approachable and respond appropriately to the needs and feelings of different people in different situations. You take time to create connections that encourage honest, direct, two-way communication.
• Plan and Prioritize Work - You recognize that demands often exceed resources. You assess circumstances, forge pathways and think critically in order to accomplish what's most important.
• Deliver Expected Results - You safely produce high quality outcomes on time and on target.

The PHI Health Advantage:

For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country.

Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average, and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry.

PHI Health

DISCLAIMER

The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws