Medical Biller

$43,680 - $49,920/Yr

Lee Hecht Harrison - Phoenix, AZ

Full-time - Mid Level

Phoenix, AZ

Administrative and Support Services

About the position

The Medical Billing Specialist role focuses on follow-up and collections to ensure accurate and timely claims processing in a healthcare setting. This full-time position requires a detail-oriented individual who is driven by accuracy and efficiency in managing healthcare financials.

Responsibilities

• Assign accurate codes to medical procedures and diagnoses for billing and reimbursement purposes.
• Collect and verify patient information, including demographics, insurance, and medical history.
• Prepare and submit claims to insurance companies and government entities.
• Follow up on unpaid claims, address denials, resolve issues, and resubmit claims as needed.
• Communicate with patients regarding billing inquiries and available payment options.
• Stay informed about changes in healthcare regulations, insurance policies, and billing practices.
• Maintain precise records of patient and financial transactions.
• Ensure compliance with healthcare billing and privacy laws.
• Manage insurance collections, negotiate payment arrangements, and address correspondence.
• Handle patient calls to support collection efforts, including eligibility assessment for charity programs and discount negotiations.
• Conduct detailed account reviews, resolve discrepancies, and update billing details as necessary.
• Utilize knowledge of HCPCS, CPT, ICD-9, ICD-10 codes, medical terminology, and clinical documentation.
• Interpret payer billing requirements and assist in educating staff on compliance needs.
• Communicate effectively with insurance companies to resolve claim issues.

Requirements

• High School Diploma or equivalent (required)
• 5+ years of medical billing and collections experience (required)
• Proficiency in basic Excel (required)
• In-depth understanding of medical billing processes, coding systems, and payer guidelines.

Nice-to-haves

• Undergraduate degree or relevant certifications (preferred)

Benefits

• Commuter assistance
• Disability insurance
• Health insurance
• Dental insurance
• 401(k)
• Vision insurance
• Life insurance
• Paid sick time