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Billing Specialist

3 months ago

Prescott Valley, United States Polara Health Full time

**_This is a hybrid position that offers the option to work from home after completing approximately 4 weeks of on-site training at our offices in Prescott Valley, AZ. Occasional on-site attendance is required after the training period._**

The Billing Specialist prepares, reviews, and sends claims to various Insurance Companies, Medicare, and Medicaid plans either electronically or by paper in the mail. Maintains patient records to work with other staff, insurance companies, and/or patients to collect reimbursement for services rendered.

**ESSENTIAL RESPONSIBILITIES**:

- Creating weekly billing files for electronic upload of claims to clearing house
- Creating monthly patient statements, checking for accuracy, stamping, attaching letters, folding, stuffing, and mailing
- Weekly posting of insurance EOBs to patient accounts
- Weekly posting of patient payments to patient accounts
- Weekly working the denial EOBs, writing reconsideration or appeal letters to insurance companies
- Weekly working aging reports for assigned insurances
- Checking claim status by using the internet site or making phone call to insurance company
- Using the internet and/or calling insurance companies to verify insurance information such as ID numbers, groups, payer ID, and dates of coverage
- 21 years of age or older; or minimum 18 years old and licensed or certified under A.R.S. Title 32 and providing services within the personnel member’s scope of practice; or minimum 18 years old for select administrative positions
- Must be able to provide or obtain an AZDPS Level One Fingerprint Clearance Card
- Must possess a valid Driver License
- Minimum of a High School Diploma or GED required
- Knowledge of medical billing principles is preferred but not required
- Excellent written and verbal communication skills
- Knowledge of basic billing principles
- Attention to detail
- Basic math skills and computer knowledge
- Data Entry & Typing Skills
- Time Management Skills
- Ability to multi-task and to stay organized
- Ability to work in a team and individually

PHYSICAL DEMANDS & WORKING CONDITIONS

The physical and working demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Office environment, travel within the community, as needed
- Heavy exposure/use of computers, cell phones, office phones, etc.
- Ability to sit for prolonged periods throughout work hours
- Must be able to occasionally lift and/or move 5 or more pounds
- Must be able to respond appropriately and effectively in crisis situations by using good judgment and following Polara Health protocols

This position is considered Safety-Sensitive by Polara Health.

**Non-Discrimination Policy**

**Americans With Disabilities Act - Request for Reasonable Accommodations**

**Background Checks