BILLER / CODER FOR MEDICAL PEDIATRIC FACILITY (on-site only)

1 month ago


Phoenix, United States Patterson Schlotterer Medical Group Full time
Job DescriptionJob DescriptionWe are looking for a candidate with Pediatric Medical Billing experience to become a staff member, for our practice in south central Phoenix.

Duties include, but are not limited to:

  • Oversee daily processing and submission of claims from practice management (PM) system to the clearinghouse and third-party payors.
  • Our EMR is EClinical Works
  • Continuously working the A/R and denials to prevent losses from timely filing and research denials to keep us informed accordingly.
  • Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules.
  • Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed.
  • Oversee the insurance correspondences, such Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal.
  • Communicates with insurance carriers to track and check status of appeals.
  • Work with insurance payors to ensure timely and accurate payments.
  • Troubleshoot patient account issues, including direct resolution of billing issue with patients.
  • Ensure accurate patient statements are sent out monthly along with analyzing patients accounts and recommend to collections accordingly.
  • Ensure credentialing and privileging is accurately maintained with all payors and facilities, including the re-credentialing cycle.
  • Perform other duties as may be assigned.
  • This position is a Full time. Punctuality and forward thinking are a must.
 

Job Type: Full-time

 

 

Experience:

  • Pediatric: 1 year (Required)
  • Medical Billing: 2 year (Required)
  • EClinical Works (Preferred but not required)


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