Medical Billing Specialist (Accounts Receivable)
COMPANY OVERVIEW:
- Process insurance and patient billing data accurately and efficiently.
- Review and resolve denied claims through resubmissions and appeals.
- Manage patient accounts and respond to billing-related inquiries.
- Interpret and act on Explanations of Benefits (EOBs) to resolve underpaid or denied claims.
- Handle incoming calls and correspondence from patients and insurance companies.
- Enter and verify patient demographic and insurance information with accuracy.
- Utilize payer portals, websites, and phone verification to confirm insurance eligibility.
- Work on assigned billing reports and escalate any unresolved issues to the Practice Administrator.
- Maintain current knowledge of payer requirements, HIPAA regulations, and company policies.
- Perform accurate charge entries, manage A/R financial classes (Private Pay, Medicare, Medicaid, Commercial, etc.), and ensure compliance with all billing procedures.
- Support the patient support team with special projects and additional duties as assigned.
- Minimum of 2 years of experience in medical billing or accounts receivable in a healthcare setting.
- Strong knowledge of insurance billing processes, claim submission, and denial management.
- Excellent problem-solving, time management, and organizational skills.
- Proficiency with medical billing software, EHR systems, and Microsoft Office Suite.
- Strong written and verbal communication skills.
- High attention to detail and accuracy in data entry and documentation.
- High School Diploma or GED (required)
- Must be able to obtain an Arizona Fingerprint Clearance Card during background check process. (Required)
Bilingual (English/Spanish) preferred but not required. Required skills, knowledge, and abilities
- On-site role in a professional office environment.
- Regular use of computers, phones, and standard office equipment.
- Ability to sit or stand for extended periods.
- Hungry – We expect everyone to strive for greatness and achievement.
- Inclusive --We create and promote a work environment where EVERYONE can thrive.
- Resilient – We don’t let small setbacks or major adversity stop us from achieving our goals.
- Empowered – Self motivation is our secret sauce to success.
- Curious -- Curiosity can lead to greater happiness and motivation in both work and life.
- Reliable -- You are accountable and you take ownership of your tasks and commitments.
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