Medical Billing/Finance

Job Title: Medical Billing Specialists

Location: Phoenix Rising BHR

Hours: Full Time – 40 hours per week (unless otherwise agreed on)

Pay: Negotiable

Medical Billing Specialist Summary:

The billing specialist position is dedicated to performing duties related to the agency’s billing and EHR system. This position processes payments, resolves disputes, collects, and has clean audits.

Core Responsibilities:

Medical Billing:

• Claims research, posting and billing

• Interact with staff, clients, payer and agency to answer

• Monitor aging reports and take steps necessary to guarantee payment of claims at the request of the billing supervisor

• Coordinate and collect necessary information from staff or payers for claim adjudication.

• Recognize problem accounts and notify appropriate staff member or billing supervisor to assist in problem resolution.

• Anticipate insurance trends and advise billing supervisor of changes

Accountabilities:

• Previous medical billing in behavioral health, helpful, and not necessary.

• Mastery of Nextgen, Word, Excel, E-mails, Tasking details related to insurance billing

• Posting/Claim follow up, including accurate, timely processing of insurance remittance and batch (payment) posting. Timely follow up for claim denials and unpaid claims. Submit authorization, appeals, disputes, corrected claims, and claim reconsiderations.

• Maintain open, positive, cordial, and team-oriented communication with supervisors and staff members.

Job Activity Demands:

Physical:

• Carry up to twenty pounds of weight.

• Able to sit and stand for extended periods of time.

• Ability to talk and hear

• Required to use hands and fingers movement, handle and reach with hands and arms.

Mental and Personal:

• Basic reading, writing and arithmetic skills

• Knowledge of phone systems and protocol for answering phones

• Professional verbal and written communication skills are important.

• Discretion with confidential information.

• Ability to motivate and coach others

• Ability to supervise others

• Ability to maintain professionalism with co-workers, clients, and outside agencies.

• Ability to process data analytically while maintaining high accuracy

JOB SPECIFICATIONS:

Education:

This position minimally requires a high school diploma and experience in a support staff position with some supervision experience.

Skills:

• Ability to type.

• Ability to communicate verbally with clients.

• Ability to answers telephones and communicate verbally over telephone

• Ability to type from handwritten materials.

• Good interpersonal skills.

• Good communication skills both verbally and in written form.

• Ability to be trained and use computer systems

• Ability to solve problems and direct others.

• Ability to multi-task and set priorities of importance.

• Excellent organizational skills

Knowledge:

• Knowledge of office practices and procedures.

• Professionally handle phone calls from clients and insurance companies.

• Knowledge of Microsoft Office and telephone protocol.

• Computer literacy and ability to learn new software applications.

• Understanding HIPAA rules.

• Ability to pass agency competencies annually.

I have read and understood my job description.

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