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, Arizona16 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.
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.
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.
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.
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.
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.
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).
Phoenix, Arizona27 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, Arizona25 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.
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.
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.
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.
Chandler, Arizona13 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.
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.
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.
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.
You’ll work closely with payers and internal teams to research denials, reconcile underpayments, identify trends, and support process improvement efforts that directly impact cash flow and operational performance. In this role, you’ll help protect and strengthen the revenue cycle by managing payer follow-up, resolving claims and reimbursement issues, and ensuring timely, accurate revenue collection.
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.
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.
Provides routine daily internal and external interface with unit/department management and staff, other service areas, information systems, physicians, physicians' office staff, patients, software/hardware vendors, and third-party payers in order to resolve patient concerns, disputes, and billing audits in order to receive payment. Meets with patients/families to acquire payment options or complete financial applications for all special programs available to resolve accounts; evaluates accounts and determines payment dates based on patient's ability to pay and hospital policies; explains charges, services, and hospital privacy regarding payment of bills.