Job Summary
Under the direction of the Billing Supervisor, this role bills and files claims on UB-04 and CMS-1500 forms, performs Medicare and commercial billing and research, corrects and adjusts claims as needed, and communicates recurring billing errors and recommended resolutions.
The position is remote but requires residence in the greater Phoenix metro area and the ability to come into the office when necessary. Work schedule is Monday through Friday, with hours between 6:00 AM and 5:00 PM.
Responsibilities
- Submit electronic and paper claims, monthly patient statements, and corrected claims
- Provide data and demographic correction feedback to physician practice staff
- Coordinate with practice managers and PBS staff to meet submission and collections benchmarks
- Process daily Gateway EDI requests and receipts to reconcile patient accounting system submissions
- Submit and receive 837 files from outside vendors
- Manage payer file maintenance and notify physician groups of updates and changes
- Support the development and improvement of internal controls for sound billing practices
- Deliver strong customer service to patients, government agencies, commercial insurers, hospital departments, physicians' offices, and vendors
Requirements & Qualifications
Qualifications
- High school diploma or GED required
- 2+ years of experience in reimbursement or revenue cycle/claims processing required
- 2 years of patient accounts experience required, or 3 years of physician billing experience required
- 3 years of Medicare or commercial facility billing experience preferred
- Experience with hospital billing in a medium to large healthcare system required
- EPIC experience preferred
- Associates degree in Business Administration or Finance preferred
- Advanced medical billing certification preferred within two years of hire
- CCS coursework preferred
Location
Phoenix, Arizona, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
3 weeks ago