EXPERIENCED FULL CYCLE MEDICAL BILLER

EXPERIENCED FULL CYCLE MEDICAL BILLER

This is an In- Office position only located in Scottsdale, AZ . NO REMOTE option for this position

Job Title: Full Cycle Medical Biller

Reports To Practice Manager

Hours: Monday- Friday 8:00am- 5:00pm

Job Summary

We are a busy Neurosurgery office looking for someone to join our healthcare team as a Full Cycle Medical Biller, where your expertise will play a vital role in ensuring accurate and efficient billing processes for medical services. In this energetic role, you will manage the full billing cycle, from coding to claim submission and payment follow-up. We are looking for someone who is a self-starter, whose attention to detail and ability to apply your skills in a fast-paced environment make a meaningful difference every day. Your expertise will ensure accurate coding, compliance with medical billing standards, and timely reimbursement for services rendered. This position offers an exciting opportunity to contribute to efficient revenue cycle management while providing exceptional support to patients and healthcare providers alike. Your proactive approach and thorough understanding of medical billing procedures will help optimize financial performance and enhance patient satisfaction.

Responsibilities and Duties:

• Review and interpret medical records to accurately assign appropriate ICD-10, CPT codes, and HCPCS.
• Verify insurance coverage, patient eligibility, and benefit information before submitting claims to streamline reimbursement.
• Updating account information as needed, including patient demographics and/ or insurance information.
• Follow up on unpaid or denied claims through effective medical collection strategies, including resubmissions and appeals with required documentation.
• Maintain detailed documentation of billing activities, corrections, and correspondence related to medical records and claims.
• Collaborate with healthcare providers to clarify diagnoses and procedures as needed for accurate coding.
• Stay current with updates in ICD coding standards, CPT coding changes, and insurance policies to ensure compliance.
• Assist in managing accounts receivable by monitoring outstanding balances and coordinating payment plans when appropriate.
• Assist patients with questions and concerns.
• Post payments received from insurance companies and patients accurately into the billing system, reconciling discrepancies as needed
• Perform related work as required, perform other job duties as assigned by the Manager.

Requirements:

• Proven experience in full cycle medical billing within a healthcare setting, demonstrating familiarity with the entire revenue cycle process
• Strong knowledge medical terminology, medical records management, ICD-10, CPT, DRG classifications, and HCPCS coding systems is essential.
• Familiarity with billing regulations for PPOs, HMOs, and government payers is necessary.
• An understanding of patient confidentiality and HIPAA regulations is important.
• Experience in medical collections and resolving billing discrepancies is required.
• Excellent attention to detail and the ability to accurately review complex medical documentation are essential.
• Strong organizational skills are needed to manage multiple tasks in a fast-paced environment.
• Effective communication skills are required for interactions with insurance companies, healthcare providers, and patients.
• Ability to work denied claims, understanding the appeal process ensuring claims are paid.
• Collect patient payments over the phone and post to their accounts
• Ability to multitask and manage time effectively
• Answer phones and assist patients with questions and help resolve any concerns in a timely and professional manner.
• Neurosurgery background preferred
• Understanding of surgical billing and coding preferred
• Knowledge of workers compensation process of claims and follow up preferred
• Other duties as assigned

Qualifications and Skills:

• A High School Diploma or GED is required.
• Bilingual is a plus
• Hands-on experience working with EMR/EHR systems for billing, documentation review, and claim submission processes
• Ability to interpret complex medical documentation accurately for effective coding and billing practices Proficient in Collaborate MD and Practice Fusion a plus
• Strong knowledge of Microsoft Office and Google Docs

Working Conditions/ Physical Demands:

Frequent sitting/ standing/bending/kneeling for extended periods of time.

Must be able to lift at least 50 lbs.

Pay: $24.00 - $30.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person