Revenue Specialist
4 weeks ago
Primary City/State:
Phoenix, Arizona
Department Name:
Billing Reimbursement
Work Shift:
Day
Job Category:
Revenue Cycle
POSITION SUMMARY
This position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of Benefits. The position will also participate in the review of all system set up requirements, billing guide-lines and fee reimbursements. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
CORE FUNCTIONS
1. Responsible for the collection, submission and claim rejections for all assigned insurance accounts. Ensures all insurance payments and adjustments are posted in an accurate and timely manner in accordance with departmental policies, procedures and performance goals.
2. Responsible to utilize the Accounts Receivable Aging Reports, to track and maintain balances within acceptable range prescribed by management.
3. Ensures all assigned insurance, regulatory and patient correspondence is researched, resolved and responded to in a timely, accurate and professional manner as defined in departmental policies and procedures. Communicates with insurance company personnel as needed to help facilitate the resolution of outstanding payment issues.
4. Ensures that internal audits and quality controls are in place in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations. Interprets and resolves written and phone correspondence involving bill transfers, adjustments, credit balances and refunds to facilitate prompt and accurate payments.
5. Understands and implements the contractual requirements for billing to, and collecting from, assigned insurance carrier(s).
6. Identifies and collaborates on improvements that can be made in the process of handling the insurance reimbursements area.
KNOWLEDGE/SKILLS/ABILITIES
* Ability to clearly and efficiently communicate complex issues using strong verbal and written aptitude.
* Extensive knowledge of billing, insurance, computer systems, and medical billing processes.
* Ability to prioritize and complete multiple tasks.
* Ability to interact with all levels of personnel.
MINIMUM QUALIFICATIONS
* Two (2) years' medical claim collection experience with knowledge of insurance billing requirements and regulations.
* High School Diploma or equivalent.
* Ability to work independently and accurately with high volumes of data and minimal supervision and be able to interface with difficult patients and/or third party insurance companies.
* Excellent communication skills, both written and verbal.
* Excellent organizational skills.
* Beginner level experience of Microsoft Excel.
PREFERRED QUALIFICATIONS
* Extensive knowledge of clinical laboratory operations.
* Five (5) years' of medical billing/insurance related experience.
* Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines.
* Advanced working knowledge of both the Xifin billing system and Microsoft Excel.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy
-
A/R Revenue Cycle Specialist
2 months ago
Phoenix, United States NSN Revenue Resources Full timeOverview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on all outstanding...
-
A/R Revenue Cycle Specialist
1 week ago
Phoenix, United States NSN Revenue Resources Full timeOverview: We are seeking an experienced and detail-oriented Accounts Receivable Specialist to join our central billing office team for ambulatory surgery centers. The successful candidate will play a crucial role in resolving outstanding surgical claims resulting in maximum reimbursement. Responsibilities: Timely follow-up and resolution on all outstanding...
-
Revenue Cycle Specialist
4 weeks ago
Phoenix, United States Sage Hospice, Primary and Palliative Care Full timeJob DescriptionJob DescriptionWe care about your talent.Join Sage Hospice as a Revenue Cycle SpecialistWe have many opportunities for people who want to develop their careers in care. We champion those devoting their lives to bettering the lives of others. As a professional you have the space to develop your talents, to fulfil your aspirations and explore...
-
Revenue Cycle Specialist Ii
14 hours ago
Phoenix, United States Copa Health Full time**_Immediately_**_ Hiring a Revenue Cycle Specialist II to Join our Copa Team On-site!_** **_Pay: $20.00-23.15hr_** **What You’ll Get** **When you join our team as a full-time team member, you will receive**: - Limitless growth and career advancement opportunities - Increased pay, based on annual performance reviews - Career development offered...
-
Medical Biller
1 week ago
Phoenix, United States Psychological Pathways Full timePsychological Pathways has been providing outpatient Psychological, and Psychotherapeutic services through an integrated insurance-based model to Central and Northern Arizona for over 40 years. We are currently looking for a full-time experienced and reliable Medical Revenue (Accounts Receivable) Specialist to join our Phoenix Billing Team. The person...
-
Revenue Clerk
4 days ago
Phoenix, United States Sonora Quest Laboratories Full timePrimary City/State: Phoenix, Arizona Department Name: Billing Reimbursement Work Shift: Day Job Category: Revenue Cycle This position is responsible for all clerical aspects of claim appeals to the appropriate insurance health plans including but not limited to faxing appeals, calling insurance companies to verify information (fax numbers, mailing...
-
Specialist, Revenue Accounting
3 weeks ago
Phoenix, United States American Airlines Full timeLocation: Rio West E Bldg (PHX-RWE1) Cities: Requisition ID: 73156 Job Description Intro Are you ready to explore a world of possibilities, both at work and during your time off? Join our American Airlines family, and you'll travel the world, grow your expertise and become the best version of you. As you embark on a new journey, you'll tackle challenges...
-
Revenue Cycle Analyst
5 days ago
Phoenix, United States CommonSpirit Health Full timeOverview: Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 200 providers and 500 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73...
-
Revenue Specialist
4 days ago
Phoenix, United States Sonora Quest Laboratories Full timePrimary City/State: Phoenix, Arizona Department Name: Billing Reimbursement Work Shift: Day Job Category: Revenue Cycle This position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of...
-
Specialist, Revenue Accounting
4 weeks ago
Phoenix, United States American Airlines Inc Full timeIntro Are you ready to explore a world of possibilities, both at work and during your time off? Join our American Airlines family, and you'll travel the world, grow your expertise and become the best version of you. As you embark on a new journey, you'll tackle challenges with flexibility and grace, learning new skills and advancing your career while having...
-
Lead Revenue Cycle Specialist
2 weeks ago
Phoenix, United States Team Select Home Care Full timeTeam Select Home Care is looking for a Revenue Cycle Lead to join our Team Select family. The Revenue Cycle Lead is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; perform billing, posting and collection of claims related to specific payers. The Revenue Cycle Lead reports directly to the Manager of...
-
Revenue Specialist
2 weeks ago
Phoenix, United States Sonora Quest Laboratories Full timePrimary City/State: Phoenix, Arizona Department Name: Billing Reimbursement Work Shift: Day Job Category: Revenue Cycle POSITION SUMMARY This position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment...
-
Revenue Specialist
1 week ago
Phoenix, United States Sonora Quest Full timeJob DescriptionPrimary City/State:Phoenix, ArizonaDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePOSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment...
-
Lead Revenue Cycle Specialist
3 weeks ago
Phoenix, United States Team Select Home Care Full timeOverview: You can apply by texting TSC to 97211 Now offering DailyPay! Ask us about it! Are you looking for an exciting opportunity with an expanding home health care company? Are you eager to prove yourself, be valued and grow? It is in your best interest to apply and hear more about what we have to offer! Team Selects mission is to take every opportunity...
-
Revenue Specialist
2 weeks ago
Phoenix, United States Sonora Quest Full timePrimary City/State:Phoenix, ArizonaDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePOSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of...
-
Revenue Specialist
1 week ago
Phoenix, United States Sonora Quest Full timePrimary City/State:Phoenix, ArizonaDepartment Name: Billing ReimbursementWork Shift: DayJob Category:Revenue CyclePOSITION SUMMARYThis position coordinates and facilitates all insurance claim submissions, claim rejections, account refunds, complex adjustments and collection activities. Also responsible for the posting of denial and non-payment Explanation of...
-
Manager, Revenue Operations
3 weeks ago
Phoenix, United States LodgeLink Full time**Manager, Revenue Operations & Inside Sales** **Phoenix, AZ** **This role is remote for now but will be in the office with 20% flexibility to work from home when we open an office in Phoenix.** **About the Role** LodgeLink is hiring a Manager, Revenue Operations & Inside Sales to join our team in Phoenix, AZ. The Manager, Revenue Operations & Inside...
-
Full Revenue Cycle Billing Specialist
3 weeks ago
Phoenix, United States Sanctuary Recovery Centers Full timeJob Description Job Description Salary: $20.00 - $25.00 At Sanctuary Recovery Centers, we understand that the journey to sobriety is a unique and personal experience. That's why we offer a connected network of care, starting with Residential Treatment and continuing through Partial Hospitalization, Mental Health and Substance Use Disorder Intensive...
-
Quality Assurance Analyst
2 weeks ago
Phoenix, United States American Vision Partners Full timeCompany Intro: At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center,...
-
Manager of Revenue Cycle Management for Intergrated
2 months ago
Phoenix, United States Sanctuary Recovery Centers Full timeSanctuary Recovery Centers of Arizona is currently looking for clinically excellent and compassionate professionals, including billing specialists, to serve its clients full time. Sanctuary Recovery Centers of AZ is the premier sober living/recovery home organization in Arizona. We provide sober living for those in need of a structured, program-oriented,...