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Phoenix, Arizona, United States Patterson Schlotterer Medical Group Full timeAbout Us:Patterson Schlotterer Medical Group is a leading healthcare provider in south central Phoenix, dedicated to delivering exceptional patient care and services.Job Summary:We are seeking a highly skilled Pediatric Medical Billing Specialist to join our team. The successful candidate will be responsible for overseeing daily processing and submission of...
Pediatric Medical Billing Specialist
2 months ago
Patterson Schlotterer Medical Group is seeking a highly skilled Pediatric Medical Billing Specialist to join our team. As a key member of our medical billing department, you will be responsible for ensuring accurate and timely processing of claims, managing denials, and maintaining strong relationships with insurance carriers.
Key Responsibilities- Claims Processing: Oversee daily processing and submission of claims from our practice management system to the clearinghouse and third-party payors.
- Denial Management: Continuously work the A/R and denials to prevent losses from timely filing and research denials to keep us informed accordingly.
- Coding and Compliance: Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules.
- Insurance Correspondence: Oversee the insurance correspondences, such as Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal.
- Carrier Relations: Communicates with insurance carriers to track and check status of appeals.
- Patient Account Management: Troubleshoot patient account issues, including direct resolution of billing issue with patients.
- Credentialing and Privileging: Ensure accurate credentialing and privileging is maintained with all payors and facilities, including the re-credentialing cycle.
- Pediatric Experience: 1 year of experience in pediatric medical billing required.
- Medical Billing Experience: 2 years of experience in medical billing required.
- EClinical Works Experience: Experience with EClinical Works is preferred but not required.
- Competitive Salary: A competitive salary and benefits package.
- Opportunity for Advancement: Opportunities for career growth and advancement within our organization.
- Collaborative Work Environment: A collaborative and supportive work environment.
