Medical Biller/AR Specialist

Busy Cardiology/ Electrophysiology practice in Phoenix is seeking medical billing/AR specialist.

As a Medical Billing/ Collection Specialist on our team, you help ensure the accuracy and efficiency of patient claims and contribute to the flow of our clinic's revenue. This is a fast-paced environment committed to producing the highest quality of work.

We are looking for a motivated performer who will deal with claims reimbursement and collection efforts for Managed Care, Medicare, Workers Comp, Commercial plans, etc.to join our Business Office team as a Billing Specialist.

Our Billing Specialist should exhibit professionalism and trustworthiness. You should have excellent communication and negotiation skills, as well as an ability to work independently and interdependently with other business office staff.

You will work closely with the Billing Manager and other team members. If you are a detail-oriented person who loves to help others, we want to hear from you!

What you will do:

• Obtains adequate health insurance information for patient eligibility and benefits over the phone and/or using online resources
• Appropriately uses the insurance verification process to obtain necessary information to send to offices and clinics within the organization.
• Precisely analyzes documents to obtain the appropriate CPT Codes (procedures) and ICD-10 Codes (diagnosis) to use when submitting claims to 3rd Party Billing companies
• Accurately audit OP Notes, Clinical Notes and more to ensure all patient files/data are correct and valid. Research and update any inaccuracies.
• Effectively analyze, complete, send, and track all claims submissions on multiple entities/providers.
• Ensures the review, investigation, and re-submission of any pending and/or missing claims.
• Performs essential office tasks such as answering phones, faxing, scanning, filing, etc. in a professional and timely manner.
• Handle the follow-up of outstanding A/R all payers, including self-pay and/or the resolution of denials.
• Handle all correspondence related to insurance or patient account, contacting insurance carriers' patients, and as needed to get the maximum payments on accounts and identify issues or changes to achieve the maximum profitability

Requirements:

• Successfully operates independently with minimal supervision.
• Detail oriented and highly organized.
• Can multi-task effectively, prioritize and complete multiple responsibilities in a timely manner.
• Consistently follows processes and procedures with accuracy.
• Effectively communicates and follows-up appropriately with co-workers, patients, providers, and insurance carriers.
• Maintains a positive and professional attitude in the office, over the phone, and via email.
• Competent in using Windows 11 and Office 365 (Word, Excel, Adobe, EMR systems) and other technologies.
• Operates with integrity and confidentiality.
• Prior Billing/AR experience is must.

We offer medical insurance, 401k and paid time off.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Health insurance
• Paid time off

Work Location: In person