Performs complex billing and accounting functions, including reviewing and processing rejected claims, verifying adjudicated claims, resolving and resubmitting claims, and ensuring payments and denials are handled according to payer contracts and company procedures. Maintains third-party billing records, reviews invoice information, and resolves a variety of claims and contract issues.
The role supports medical and behavioral health billing operations, including claim resolution, payment posting, denial management, eligibility verification, and coordination with payers.
Requirements & Qualifications
Billing Processor I
- 3 years of billing and claims processing experience
Billing Processor II
- Minimum of 5 years of billing and claims experience
- Minimum of 1 year processing claims for the primary Medicaid ERA funder
Certified Professional Coder
- Active AAPC certification
Additional requirements
- Valid Arizona driver's license
- Proof of current insurance
- Willingness to use personal vehicle
- Clean motor vehicle record with no more than 2 moving violations or a license suspension in the past 3 years
Skills
- Bilingual a plus
- Ability to interact effectively with other service providers
- Intermediate to advanced computer skills using MS Office products, Word, Excel, Access, and data import/export tools
- Strong oral and written communication skills
Location
Tucson, Arizona, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago