Billing Specialist

Location: Phoenix, AZ

Compensation: $21-$23.75 / hour

A healthcare organization in Phoenix is seeking an experienced Billing Specialist to support revenue cycle operations and ensure timely reimbursement from commercial, government, and managed care payers. This role will play a critical part in managing claim submissions, payment posting, account follow-up, and denial resolution while partnering closely with patients, providers, and insurance carriers.

The ideal candidate is detail-oriented, proactive, and experienced in healthcare billing, claims processing, and accounts receivable management within a fast-paced healthcare environment.

Key Responsibilities

• Monitor and manage assigned AR aging to ensure timely collection of outstanding balances.
• Investigate unpaid, underpaid, and delayed claims to identify root causes and secure reimbursement.
• Perform account follow-up with insurance carriers and patients regarding outstanding balances.
• Track and document collection activities, account status updates, and claim resolutions.
• Maintain department productivity and collection goals.
• Prepare, review, and submit electronic and paper claims accurately and timely.
• Verify claim accuracy, coding edits, payer requirements, and supporting documentation prior to submission.
• Review claim rejections and denials and take appropriate corrective action.
• Research and resolve billing discrepancies, incomplete claims, and payer issues.
• Submit claim corrections, reconsiderations, appeals, and supporting documentation as necessary.
• Ensure compliance with payer-specific guidelines and healthcare billing regulations.
• Post insurance and patient payments accurately and reconcile discrepancies.
• Research payment variances and coordinate resolutions with internal departments.
• Review explanation of benefits (EOBs) and electronic remittance advice (ERAs).
• Identify trends related to payment delays, denials, and reimbursement issues.

Qualifications

Required

• High School Diploma or GED required.
• 2+ years of healthcare billing, medical claims, accounts receivable, or revenue cycle experience.
• Experience working with commercial, Medicare, Medicaid, and managed care payers.
• Knowledge of claim submission, denial management, and insurance follow-up procedures.
• All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.