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Medical Billing Clerk

4 months ago

Phoenix, United States Adobe Care And Wellness LLC Full time

**ABOUT ADOBE**
**Adobe Population Health** (**APH**) is a women-owned health solutions company founded in 2018 and committed to **positively impacting the lives we touch**. The company has a culture of inclusivity and human kindness, based in Phoenix, AZ, with satellite locations in multiple states. APH has been recognized as one of “**America's Fastest-Growing Private Companies**” by _Inc. 5000_ and has earned a "**Best Places to Work**" award from the _Phoenix Business Journal_ consecutive times.

APH offers customized programs for insurance groups, providers, hospitals, and families, which include case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. As one of the country's few fully integrated healthcare providers, APH provides top-notch medical services with various service lines. The company is expanding and looking for individuals who want to make a difference and help those in need.

**POSITION PURPOSE**

This newly created position supports APH’s continued expansion and reports to the Accounting Manager.

This role is based out of our Phoenix Office, conveniently located off the 51 Freeway (Glendale Ave. and 16th St.).

**DUTIES & RESPONSIBILITIES**

**Managing Claims (60%)**
- Monitoring the status of claims in the clearinghouse and resolving any issues or errors.
- Resubmitting denied and rejected claims with appropriate ICD-10 and CPT codes through the clearinghouse.
- Collaborating with the IT team to update and maintain billing records and databases.
- Collaborating with the medical coding team and IT team to identify and implement strategies to improve billing efficiency and accuracy.

**Reporting & Reconciling (25%)**
- Reconciling accounts and generating reports on revenue cycle performance.
- Reconciling EHR data with claims data submitted to health plans to proactively identify missing or inaccurate claims.
- Preparing, maintaining, and analyzing aging reports and statements.
- Communicating with internal teams and payers to address any questions or concerns.

**Invoicing & Collections (10%)**
- Generating and sending invoices to payers for events and other services.
- Tracking and verifying outstanding balances and invoices.

**Other (5%)**
- Maintain compliance with federal, state, and local regulations and policies.
- Perform other clerical and administrative tasks as assigned.

**SKILLS & QUALIFICATIONS**
- 3+ years in accounts receivable related roles.
- 1+ year in healthcare setting.
- Proactive/Self-Starter Mindset.
- Strong Analytical and Critical Thinking Skills.
- Detail Oriented and Highly Organized.
- Curiosity and Flexibility.
- Experience with Change Healthcare.
- Experience with Salesforce.
- Experience with Sage Intacct.
- Basic understanding of Generally Accepted Accounting Principles (GAAP).
- Customer-centric approach with a passion for delivering exceptional experiences.

**EDUCATION, LICENSES, & CERTIFICATIONS**
- High School Diploma or equivalent required.
- Associate’s degree preferred.
- AAPC Certified Professional Coder (CPC) Certification is REQUIRED.
- AAPC Certified Professional Biller (CPB) Certification is strongly preferred.

**BENEFITS & TOTAL REWARDS**
- Paid Onboarding and Training
- Insurance - Medical, Dental, Vision, and Life
- 401k Plan - 3% match
- Employee Assistance Program
- Tuition Reimbursement
- Continued Education Support
- Mileage Reimbursement (if applicable)
- Referral Bonuses
- 8 Paid Holidays
- 15 Days of Paid Time Off
- Paid Volunteer Hours

**CHARACTER & COMPETENCIES**
- ** Diversity** - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
- ** Ethics** - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
- ** Adaptability** - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- ** Analytical** - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
- ** Customer Service** - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
- ** Dependability**:

- Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
- ** Interpersonal Skills** - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Kee