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Medical Billing Specialist

Agave Ridge Behavioral Hospital

The Billing and Payment Specialist is responsible for accurate and timely billing for treatment services and posting payments received for a group of facilities.

This is an onsite, full-time, Monday-Friday opportunity.

Responsibilities include:

  • Billing patient claims in a timely manner
  • Reviewing claim issues, making corrections, rebilling, and using the claims clearinghouse to resubmit electronically when available
  • Evaluating and updating bill cycles as needed
  • Printing daily billing reports for both electronic and paper claims and monitoring validation percent
  • Working daily claims rejection lists
  • Posting insurance and patient payments, contractuals, and other adjustments
  • Reviewing explanation of benefits to confirm claims processed and paid correctly and escalating issues for follow-up when needed
  • Completing adjustment forms and attaching supporting documentation
  • Prorating patient accounts and monitoring balances in the correct financial class
  • Maintaining a daily cash log and noting variances
  • Gathering and interpreting system data to determine appropriate next steps for timely payment
Requirements & Qualifications

Education and Experience

  • High school diploma or equivalent
  • 5 years of job-related experience; healthcare experience preferred

Skills and Qualifications

  • Advanced computer skills, including Microsoft Office, especially Word, Excel, and PowerPoint
  • Knowledge of office administration procedures and standard office equipment
  • Ability to work professionally with sensitive and proprietary information while maintaining confidentiality
  • Excellent interpersonal skills and the ability to interact professionally with individuals at all levels
  • Strong judgment in responding to inquiries and knowing when to escalate
  • Self-motivated with strong organizational skills and attention to detail
  • Ability to manage multiple tasks and adapt to changing priorities
  • Ability to work within established policies, procedures, and practices
  • English proficiency sufficient to provide and receive instructions

Location

Mesa, Arizona, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

No

Posted

3 weeks ago

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