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.
PHOENIX, Arizona15 days ago
Responsibilities: MAIN:
- Analyze daily financial exceptions from the charge capture audit reports to determine areas of leakage and partner with information technology and clinical service lines to rectify charge capture issues by assisting service lines to improve their ability to capture compliant charges. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center.
p>Key Job Responsibilities: Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion.
p>My client, a tech-enabled managed services organization (MSO) designed to serve as the operational and technology backbone for leading law firms, financial institutions, and professional services firms, is looking for a Billing Specialist. This role prepares timely, accurate client invoices and helps design, implement, and improve billing policies and procedures.
Through prior experience and cross training, demonstrate advanced knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions in a timely manner and with a high degree of accuracy.
Chandler, Arizona12 days ago
p/>Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion.
Queen Creek, Arizona30+ days ago
div>Canyon State Academy is located on a scenic 180-acre campus surrounded by Farm student housing for 300 + youth, a Thrift Store, Cafe, Barbershop and Church open to the community incorporating life skills for our students. Works with departments to gather and review required billing information; Verifies accuracy and completeness of all required information needed for billing and payment; Bills Medicaid/Insurance carrier by inputting billing information to database; initiating electronic transmissions, etc.
Queen Creek, Arizona30+ days ago
div>Canyon State Academy is located on a scenic 180-acre campus surrounded by Farm student housing for 300 + youth, a Thrift Store, Cafe, Barbershop and Church open to the community incorporating life skills for our students. Works with departments to gather and review required billing information; Verifies accuracy and completeness of all required information needed for billing and payment; Bills Medicaid/Insurance carrier by inputting billing information to database; initiating electronic transmissions, etc.
The Goodyear Fire Department seeks a Medical Billing Specialist is responsible for performing medical billing and collection processes for the Goodyear Fire Department including creating, updating, and maintaining accounting spreadsheets; preparing and auditing daily deposits; patient refunds; auditing medical billing and medical charts; reconciling revenue and expenditure reports; and ensuring critical deadlines are met. Performs a variety of medical billing-related responsibilities to ensure accuracy of financial data, which may include auditing 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.
The Legal Billing Specialist is responsible for preparing timely, accurate billings for external clients, resolving complex invoice rejections, and ensuring compliance with client-specific billing guidelines. We bring together talented people, innovative technology, and integrated services to create scalable, efficient environments where teams can do their best work and grow their careers.
p>Key Job Responsibilities: - Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion.
Phoenix, Arizona24 days ago
h1>The Legal Billing Specialist is responsible for preparing timely, accurate billings for external clients, resolving complex invoice rejections, and ensuring compliance with client-specific billing guidelines. Review and resolve rejected invoices due to errors such as Timekeeper/Rate issues, Incorrect Matter Billed, Missing PO Numbers, Budget discrepancies, Credential problems, and more.
p>The Specialist works collaboratively across departments to support student success and institutional operations by maintaining compliant, accurate financial records and delivering high-quality customer service to students, employees, and external partners. Summary of Function:
The Accounts Receivable & Sponsor Billing Specialist plays a critical role in managing district-wide receivables and third-party sponsorship billing processes.
p>Job Summary: The Medical Billing Specialist II is primarily responsible ensuring revenue cycle objectives are met by assisting with special projects, training, billing and resolution of denials.for the resolution of denied claims and developing strategies to optimize billable encounters. Required Qualifications:
- Minimum of 5 years experience as a billing coordinator or specialist or similar position.
Chandler, Arizona30+ days ago
ul>Read and interpret complex contracts to accurately calculate and generate invoices to customers based on project milestones and unique billing criteria. This role is essential for ensuring accurate and timely billing for our projects, which often involve complex contracts and are based on the percentage of project completion.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. You will be responsible for managing aged accounts, resolving billing issues, and working closely with internal teams and payers to secure proper reimbursement.
i>Please note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs.
Data Validation: Review and verify EPIC data fields, including policy numbers, commissions, ICO/PPE, and related billing details before processing.
Scottsdale, AZ30+ days ago
Day to day processing of billing reports and financial handling, including but not limited to applying lockbox payments, manual payment application, generating refunds, reviewing and applying suspended cash, transferring funds, and investigating failed payment transactions, etc. Under moderate supervision, reconcile insured's accounts and discrepancies and assist team in resolving matters pertinent to the processing and recovery of insured's balances.
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).
You will be responsible for (A/R) Department, you will be responsible for completing patient financial services (PFS) tasks such as billing and/or accounts receivable follow-up with payer and maintaining quality and productivity requirements as outlined in the position performance expectations. Additional responsibilities of the Medical billing specialist: maintain and release all-ship-verified claims for all third-party claim (commercial or government) accounts within established time frame as assigned.
Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs.
Phoenix, Arizona26 days ago
li>Through prior experience and cross training, demonstrate knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions in a timely manner and with a high degree of accuracy.
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.
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.
p/>Keys: Financial Services, Investment Advisory, WMP (Envestnet), Billing, Accounting, Customer Service, Advisor Support, Client Support, Operations Support, Account Management, Broker-Dealer, Financial Advisor, Support Representative, Customer Service Representative, Back Office Operations. We celebrate diversity in our workplace and we hire the most qualified candidates without regard for age, ethnicity, gender, gender identity or expression, language differences, nationality or national origin, family or marital status, physical, mental, and developmental abilities (or the perception of a disability), genetic information, race, religion or belief, sexual orientation, skin color, social or economic class, education, work and behavioral styles, political affiliation, military service, caste, or any other characteristic protected by law.
Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. As an Associate Operations Specialist, you will be responsible for identifying opportunities for process improvements, sharing best practices, collaborating with cross-functional teams, and conducting thorough analyses of program operations.
Phoenix, Arizona10 days ago
ul>Associate or Bachelor's degree in Accounting, Finance, or Business Administration preferred - Equivalent professional experience (5+ years) will be considered in lieu of a degree. This role is ideal for someone who enjoys working with data, meeting deadlines, and collaborating across teams to deliver high-quality financial results.
Phoenix, Arizona30+ days ago
The Remote Billing Specialist will support the billing department by handling front-end billing tasks, processing a high volume of claims daily, and participating in special projects related to the organization’s recent acquisition. Our client, a well-established healthcare organization in Phoenix, AZ, is seeking two Remote Billing Specialists to join their team.
New Jersey Asbury Park Atlantic City Barnegat Basking Ridge Bayonne BELLMAWR Bergenfield Berkeley Heights Blackwood Brick Bridgeton Bridgewater Butler Camden Cape May Court House Central Region Cherry HIll Chester Clementon Clifton Cranford Cresskill Deptford Dumont Dunellen East Brunswick East Orange Edgewater Park Edison Egg Harbor Township Elizabeth Englishtown Ewing Fair Lawn Flemington Franklin Lakes Freehold Garfield Gibbstown Gillette Hackensack Haddon Field Hainesport Hamilton Hammonton Hasbrouck Heights Haworth Hillsborough Holmdel Jamesburg Jersey City Lakewood Leonardo Lindenwold Little Egg Harbor Livingston Lodi Manalapan Manville Marlton Matawan Millington Millville Monmouth Monmouth Junction Monroe Township Montague Montclair Montville Morganville Mount Holly New Brunswick New Providence North Bergen Northfield Nutley Ocean Gate Oradell Parlin Parsippany Passaic Penns Grove Pennsauken Pequannock Perth Amboy Piscataway Pleasantville Point Pleasant Beach Pompton Plains Red Bank Ridgewood Rosenhayn Scotch Plains Skillman South Bound Brook South Orange Tenafly Tenefly Tinton Falls Toms River Tuckerton Union Vernon Verona Waldwick Wanamassa Watchung Wayne West Long Branch West New York Westampton Williamstown Willingboro Woodstown Wrightstown. Minnesota Aitkin Albert Lea Anoka Bemidji Bloomington Brooklyn Center Brooklyn Park Buffalo Burnsville Cedar Champlin Chaska Circle Pines Cloquet Cold Spring Columbia Heights Coon Rapids Cottage Grove Crosby East Grand Forks Eden Prairie Eden Valley Edina Elk River Faribault Forest Lake Hopkins Houston Hutchinson Inver Grove Heights Lakeville Mahtomedi Mankato Maple Grove Marine On Saint Croix Marshall Minneapolis Minnetrista Naytahwausch New Prague North Branch North St. Paul Oak Grove Onamia Osseo Princeton Prior Lake Red Wing Richfield Rochester Rollingstone Rosemount Roseville Rush City Saint Paul Sartell Sauk Centre Shakopee Shoreview South St. Paul Spring Lake Park St. Cloud St. Francis St. Louis Park St. Paul Stillwater Tofte Tower Wayzata West St. Paul White Bear Lake Willmar.
New Jersey Asbury Park Atlantic City Barnegat Basking Ridge Bayonne BELLMAWR Bergenfield Berkeley Heights Blackwood Brick Bridgeton Bridgewater Butler Camden Cape May Court House Central Region Cherry HIll Chester Clementon Clifton Cranford Cresskill Deptford Dumont Dunellen East Brunswick East Orange Edgewater Park Edison Egg Harbor Township Elizabeth Englishtown Ewing Fair Lawn Flemington Franklin Lakes Freehold Garfield Gibbstown Gillette Hackensack Haddon Field Hainesport Hamilton Hammonton Hasbrouck Heights Haworth Hillsborough Holmdel Jamesburg Jersey City Lakewood Leonardo Lindenwold Little Egg Harbor Livingston Lodi Manalapan Manville Marlton Matawan Millington Millville Monmouth Monmouth Junction Monroe Township Montague Montclair Montville Morganville Mount Holly New Brunswick New Providence North Bergen Northfield Nutley Ocean Gate Oradell Parlin Parsippany Passaic Penns Grove Pennsauken Pequannock Perth Amboy Piscataway Pleasantville Point Pleasant Beach Pompton Plains Red Bank Ridgewood Rosenhayn Scotch Plains Skillman South Bound Brook South Orange Tenafly Tenefly Tinton Falls Toms River Tuckerton Union Vernon Verona Waldwick Wanamassa Watchung Wayne West Long Branch West New York Westampton Williamstown Willingboro Woodstown Wrightstown. Minnesota Aitkin Albert Lea Anoka Bemidji Bloomington Brooklyn Center Brooklyn Park Buffalo Burnsville Cedar Champlin Chaska Circle Pines Cloquet Cold Spring Columbia Heights Coon Rapids Cottage Grove Crosby East Grand Forks Eden Prairie Eden Valley Edina Elk River Faribault Forest Lake Hopkins Houston Hutchinson Inver Grove Heights Lakeville Mahtomedi Mankato Maple Grove Marine On Saint Croix Marshall Minneapolis Minnetrista Naytahwausch New Prague North Branch North St. Paul Oak Grove Onamia Osseo Princeton Prior Lake Red Wing Richfield Rollingstone Rosemount Roseville Rush City Saint Paul Sartell Sauk Centre Shakopee Shoreview South St. Paul Spring Lake Park St. Cloud St. Francis St. Louis Park St. Paul Stillwater Tofte Tower Wayzata West St. Paul White Bear Lake Willmar.
p>New Jersey Asbury Park Atlantic City Barnegat Basking Ridge Bayonne BELLMAWR Bergenfield Berkeley Heights Blackwood Brick Bridgeton Bridgewater Butler Camden Cape May Court House Central Region Cherry HILL Chester Clementon Clifton Cranford Cresskill Deptford Dumont Dunellen East Brunswick East Orange Edgewater Park Edison Egg Harbor Township Elizabeth Englishtown Ewing Fair Lawn Flemington Franklin Lakes Freehold Garfield Gibbstown Gillette Hackensack Haddon Field Hainesport Hamilton Hammonton Hasbrouck Heights Haworth Hillsborough Holmdel Jamesburg Jersey City Lakewood Leonardo Lindenwold Little Egg Harbor Livingston Lodi Manalapan Manville Marlton Matawan Millington Millville Monmouth Monmouth Junction Monroe Township Montague Montclair Montville Morganville Mount Holly New Brunswick New Providence North Bergen Northfield Nutley Ocean Gate Oradell Parlin Parsippany Passaic Penns Grove Pennsauken Pequannock Perth Amboy Piscataway Pleasantville Point Pleasant Beach Pompton Plains Red Bank Ridgewood Rosenhayn Scotch Plains Skillman South Bound Brook South Orange Tenafly Tenefly Tinton Falls Toms River Tuckerton Union Vernon Verona Waldwick Wanamassa Watchung Wayne West Long Branch West New York Westampton Williamstown Willingboro Woodstown Wrightstown. North Carolina Albemarle Apex Asheboro Asheville Bayboro Beaufort Brevard Bryson City Carthage Chapel Hill Charlotte Cherokee Conover Currituck Dobson Durham Eden Edenton Elizabeth City Elkin Gastonia Gatesville Goldsboro Graham Guilford Halifax Hamlet Indian Trail Jones County Schools Jones Schools Kannapolis Kenansville Kinston Lenoir Lillington Lincolnton Louisburg Lumberton Marble Marion Murphy NASHVILLE New Bern Newland North Wilkesboro Onslow Schools Person Pittsboro Raleigh Reidsville Roanoke Rapids Robbinsville Rocky Mount Roxboro Shelby Smithfield Snow Hill Statesville Swan Quarter Tarboro Taylorsville Thomasville Wake County Schools Walnut Cove Warrenton Waynesville Weldon Whiteville Williamston Wilson Winston-Salem Winton Yanceyville.
As a key financial leader in our mid-size, partially ESOP-owned business, you will manage an established accounting team, ensure strict DCAA timekeeping compliance, and navigate the unique accounting, tax structures, and reporting rules associated with shared ESOP and corporate equity ownership. Key Responsibilities:
- Oversee the consolidated month-end and year-end close processes, delivering timely, GAAP-compliant financial packages, partial-ESOP footnote disclosures, and variance analyses to executive leadership.
Scottsdale, AZ30+ days ago
This role ensures timely and accurate execution of account receivables processes, handles escalated customer issues, and drives performance through mentorship, monitoring, and coaching. WHAT YOULL BE DOING: Supervise the daily operations of the collections and special billing teams, ensuring adherence to procedures, timely resolution of accounts, and quality of service.
Youll be working in a school-based setting, helping students overcome communication challenges, develop new skills, and build confidence - all while having a blast along the way! Learning and Growing: As a Clinical Fellow, youll receive plenty of guidance and mentorship to help you build your skills.
Analysts will be expected to leverage their practice experience to provide support to the quality review process by participating in "deep dive" reviews (holistic and targeted reviews) of legal files to verify the reasonableness, necessity and propriety of case handling decisions made by panel attorneys, as well as providing feedback regarding a firm's billing practice and history. Effective communication skills are needed to help facilitate discussion with firms regarding billing issues where necessary, delivery of training to claims personnel around bill review, and preparation and presentation of billing practices amongst team members.