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, Arizona19 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.
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.
This is a great opportunity for someone who knows the pharmacy billing world, enjoys solving claim and coverage issues, and wants to be part of a stable, service focused team where accuracy and follow through are highly valued. In this role, you will support daily and month end billing activity, process insurance claims, resolve billing issues, and serve as a knowledgeable resource for the team.
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).
Gilbert, Arizona30+ days ago
p/>MOGEL is partnering with a rapidly growing healthcare technology organization in the East Valley to hire Billing Specialists focused on claims, denials, and payer follow-up.
If you have experience working denied claims and enjoy solving complex billing issues, this is an opportunity to join a stable, performance-driven revenue cycle team.
This is done through multiple distribution channels, including NFP Producers and Wholesalers, Carrier General Agencies, Independent Producers, and Executive Life Solutions Sub-GA's. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location.
Supports billing operations by providing strategic operational support in the functional areas of billing as required including customer service, third party, submissions, order entry, cash applications, patient refunds, error processing, LTC, client billing, etc. This position will process administrative and/or correspondence driven billing requests including insurance updates, demographic changes, eligibility reviews, adjustment reviews, diagnosis updates, patient appeal requests, and other patient and/or client requests as required.
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.
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.
p>Healthcare Outcomes Performance Company (HOPCo) is a physician managed company focused on transforming the patient care experience and improving the practice of medicine. Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers..
Our team is uniquely, passionately, and strategically committed to ending Alzheimer''s disease and other neurodegenerative disorders without losing another generation, advancing oncology research to improve cancer prevention and treatment outcomes, and providing an unparalleled model of care for families facing these devastating diseases. You will be responsible for maintaining billing compliance by reading payer coverage analyses, dividing patient charges between sponsor-paid and patient-paid procedures, and interpreting contracts, budgets, and tracking systems to determine clinical trial coverage according to Medicare guidelines.
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.
Support daily medical office revenue cycle activities including basic coding support, data entry, patient registration, and claim review to resolve patient inquiries/disputes. This is a hybrid role (mix of onsite and remote) ideal for an experienced medical A/R professional who enjoys denial resolution, payment posting, and ensuring accurate reimbursement.
Phoenix, Arizona20 days ago
div class="job__description body">We’re not just behavioral health people—we’re crisis people.
Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care.
Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise.
Scottsdale, AZ21 days ago
Guided by our mission of fulfilling dreams by building families, Pinnacle offers compassionate care, innovative technology, and comprehensive fertility treatment services to provide patients with a seamless and personalized journey to parenthood. The Patient Solutions Specialist position allows you to support patients through the financial aspects of their care while working closely with clinical, administrative, and billing teams to provide a seamless patient experience.
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.
PHOENIX, Arizona30+ days ago
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. - Makes calls to and answers incoming calls from patients, discussing their account balance while ensuring that our patients have an exceptional experience.
Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer's treatment journey. How you will make an impact:
- Communicating with insurance providers, healthcare teams, and patients to gather and confirm benefit information such as coverage, copays, deductibles, and authorization requirements.
p>The Revenue Cycle Specialist II, RCM is a position that calculates and posts receipts to appropriate accounts, verifies details of transactions; performs billing, posting and collection of claims related to specific payers. Handles critical accounts and projects, coordinating with management, operations, and payers to ensure issues are resolved.
Phoenix, Arizona30+ days ago
ul>Responsible for daily function of collection efforts, including inventory review, regular consultation with attorneys to review issues related to A/R and determine best strategy for collection.
Excellent interpersonal and communication skills (oral and written), professional demeanor, and presentation, including active listening and ability to convey information clearly.
Phoenix, Arizona26 days ago
p/>Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. The Cash Application Specialist is responsible for completing all payment posting to patient accounts, reconciles payments and shortages for both paper and electronic EOBs.
As a medical front desk person, you will schedule appointments, collect new client information, and receive client payments or co-payments and issue receipts as a variety of administrative tasks on the daily, making this career always interesting while performing in a fast-pace environment. Minimum One- Year Relevant Front Office Customer Facing and Focused Service Experience in Healthcare, Hospitality (i.e., meeting or conventions, hotel), or Banking required.
p>Health Center Relations Specialist Duties Include: - Greet individuals coming into the clinic in a professional and courteous manner, assist their needs promptly with compassion, in accordance with Terros Health values.
The position performs a variety of duties which include, but are not limited to, greeting individuals, appointment scheduling, intake interviews, gathering information and paperwork.
Minimum One-Year Relevant Front Office Customer Facing and Focused Service Experience in Healthcare, Hospitality (i.e., meeting or conventions, hotel), or Banking required. You will be a great candidate if you have at least one- year relevant front office customers facing and focused service experience in healthcare, hospitality or banking and we will train you!