Medical Billing Specialist
2 weeks ago
Locations: Phoenix, AZ
Type:Urban
Salary Range:$22 to $23 / Per Hour
Open Period:12/27/2023 until filled
Summary:MISSION: Improving the lives of individuals and families through Native American culturally appropriate behavioral health, affordable housing, and community development services.
More info about area:
Duties:RESPONSIBILITIES: Duties and Responsibilities: Ensures claims are submitted timely with a goal of zero errors, to include payor and demographic information. Verifies completeness and accuracy of all claims prior to submission. Accurately posts payor and patient payments by line item with basic knowledge of payor contracts. Timely follow up and resolution on insurance claim denials, exceptions or exclusions. Identifies insurance payer denials and works with payors on resolution, to include appeal submission with appropriate documentation. Identifies billing errors and works with clinical staff on charge entry resolution. Identifies patterns of billing errors, inaccurate payments, posting errors and communicates any needed system changes to direct supervisor. Creates and maintains meticulous records of follow-up efforts via the billing system. Reduces overall delinquent patient AR. Makes necessary demographic changes to patient accounts to ensure accuracy for future billing. Ensures medical records are signed by appropriate parties. Effectively manages billing related inquiries from providers or patients. Reviews credit balances and takes accurate action in a timely fashion. Utilizes monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. Responds to inquiries from payor entities, patients and providers. Acts as a liaison between patient, practice and payor regarding complaints and problems Corrects open encounters list from providers. Identifies opportunities to improve billing efficiency and accuracy and implement strategies to achieve maximum reimbursement for services provided. Collaborates with other departments, such as finance and customer service, to ensure smooth and efficient billing operations. Prepares and presents billing reports to senior management. CORE COMPETENCIES: Mission Interpersonal Communication Collaboration and Teamwork Screening and Assessment Care Planning and Care Coordination Quality of Work/Intervention Cultural Competence and Adaptation Systems Oriented Practice (Work Efficiency/ Punctuality/Attendance) Productivity Practice-Based Learning and Quality Improvement Informatics Initiative/Resourcefulness Dependability Professional Behavior- Attitude/Enthusiasm
Qualifications:WORK EXPERIENCE/SKILLS REQUIREMENT: Solid understanding of basic functions of billing software and electronic health records. Strongly prefer knowledge of diagnosis and procedural coding, medical terminology and payor billing guidelines Must have the ability to multitask and manage time effectively. Ability to effectively communicate, with clarity and write clearly and concisely. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations and the public. Ability to problem-solve, plan and prioritize work activities, while using time efficiently. Must be flexible and able to multi-task while working in a collaborative, team environment with a positive attitude. Demonstrate resourcefulness and troubleshooting. Outstanding organizational skills and demonstrated ability to focus on detail. Understands and adheres to HIPAA and PHI guidelines. Maintains strict confidentiality of patient information. Provides professional and courteous customer service at all times. Proficient in Microsoft Office including Outlook, Word, and Excel. PHYSICAL DEMANDS: Able to sit, stand walk with/ without accommodations.
Work Type:Permanent, Full
Announcement #:163
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