Phoenix, Arizona30+ days ago
li>Understand insurance regulations and guidelines to include CMS guidelines in order to effectively discuss outstanding claims with payers related to slow payments, underpayments, denials and to ensure claims are processed compliantly and paid appropriately.
Medical Billing Specialist
Please Note: This is an Evergreen Job Posting
This position is part of an ongoing recruitment effort to build a pipeline of qualified candidates for future vacancies.
Scottsdale, AZ26 days ago
Picture a shimmering oasis overlooking the Sonoran Desert and the McDowell mountains - Fairmont Scottsdale Princess offers luxury and world class hospitality with over 300,000 square feet of meeting space. Your team and working environment: A team of Heartists that are committed to working together, supporting each other, and providing the best guest experience, Feel Valued, Feel Sparked, We Are One.
p>This role is critical in a telecommunications environment, where billing relies on complex back-office systems, including provisioning platforms, customer information databases, product catalogs, and service order management systems, to generate accurate and compliant invoices. Aligned to the future-state operating mode, ensure integrity and scalability of billing master data and configuration controls, including product catalogues, pricing logic, contract mapping and invoice triggers, establishing strong design governance to prevent downstream defects.
4. Submits specialty billing for PACE and Medicaid clients using EDI software portal, reconciles EOBs, denied claims and conducts accounts receivable follow-up. Specialized Knowledge, Skills & Abilities: • Proficient and accurate data-entry skills are required to record and manipulate data as previously described.
Scottsdale, AZ30+ days ago
Performs a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing of medical charts and medical billing, preparing patient refunds, collection accounts and deposits; conducts research; determines and raises pertinent issues, summarizes findings and presents results; and administers programs in assigned area. To obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).
Mesa, Arizona30+ days ago
Perform daily reconciliation by carrier, detailing carrier cash deposited/received with total commissions posted in EPIC and total unposted. Execute daily reconciliation by carrier cash receipt, detailing cash received from carrier, commissions posted, and unposted commissions.
Phoenix, Arizona30+ days ago
li>Perform occasional prebill edits and generate complex client invoices using Prebill Viewer and Aderant when billing issues are escalated by the Billing Attorney or Billing Specialist to ensure accurate and timely completion of invoices.
Partner with Billing Attorneys to ensure timely and accurate invoice processing while proactively addressing and resolving issues; implement corrective actions to maintain operational efficiency.