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, Arizona30+ days ago
Primoris nor its subsidiaries will be responsible for any fees from the use of any unsolicited resumes either through our ATS or via electronic mail systems from any agency representative or agency consultant unless your firm is an approved vendor partner with a current executed agreement. The Project Billing Coordinator will work closely with finance and operations managers to ensure the financial integrity of company projects.
Primoris nor its subsidiaries will be responsible for any fees from the use of any unsolicited resumes either through our ATS or via electronic mail systems from any agency representative or agency consultant unless your firm is an approved vendor partner with a current executed agreement. The Project Billing Coordinator will work closely with finance and operations managers to ensure the financial integrity of company projects.
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.
PHOENIX, Arizona18 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.
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.
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.
This role collaborates closely with the Billing Implementation Manager, Billing Operations, and Product and Engineering teams to drive improvement projects, automate manual processes, and enhance operational efficiency. The Senior Billing Risk Analyst is responsible for conducting audits, strengthening control frameworks, and performing risk assessments to help ensure the accuracy, completeness, and integrity of billing processes.
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).
This role will be responsible for managing daily billing operations, ensuring accurate and timely invoice processing, maintaining billing data integrity, and supporting cross-functional teams with billing-related inquiries. To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy.
Phoenix, Arizona27 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>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..
Phoenix, Arizona25 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.
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.
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.
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.
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.
Chandler, Arizona15 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.
We're looking for a Billing & Collections Specialist to join our Rental team in Phoenix and serve as a key point of contact for our customers throughout the invoicing and collections process. Submit invoices through customer billing portals (Ariba, Coupa, Taulia, and similar platforms) and ensure timely acceptance.
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
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.
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>What Youll Do: • Audit unbilled/missing accounts, stuck claims & aged AR • Validate data across dispatch, clinical & billing systems • Support external audits (e.g., Deloitte) • Execute test plans for billing system releases, fee schedule updates, diagnosis/code changes, and automation modifications. • Analytical mindset & high attention to detail • Strong communication and documentation skills • High school diploma required; Associates preferred • This role is designated Safety Sensitive under the Arizona Medical Marijuana Act.
Phoenix, Arizona8 days ago
div style="background-color:transparent;color:black;font-family:'tahoma';font-size:10pt;font-weight:bold;text-align:left;border-style:none;border-color:transparent;border-width:1px;margin-left:0px;margin-top:0px;margin-right:0px;margin-bottom:0px">ESSENTIAL FUNCTIONS
- Performs timely follow-up on patient accounts and collection activities normally found in the more problem accounts.
EXPERIENCE
- 2 years Commercial contract and Medicare reimbursement collection experience Required or.
Manages the direction of all requests for missing information from clients, ensuring data received from clients and long term care facilities is entered timely and accurately and maintained securely in accordance with departmental polices procedures policies, procedures and all applicable laws and regulations. Conducts monthly meetings with staff to provide instruction on updated collection techniques, bill code changes, Medicare rules and regulations, client and facility issues, compliance updates and payor changes.
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.
About the Role: Solve both simple and complex business problems by interceding in member service related issues, billing, and operational issues specifically as it relates to financial systems and processes. the first digital generations, and today we deliver award-winning cybersecurity, online privacy, identity protection and financial wellness solutions to nearly 500.
Assigned areas of responsibility include pre-billing, billing, behavioral health, third-party follow-up, government follow-up, customer service, and applicable involvement with any related Patient Financial Services functions at all extensions of Valleywise Health. Qualifications: Education: Requires a Bachelors degree in Business, Finance or related field, or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
To Do What: In this position, you will be responsible for the delivery of quality educational instruction by helping develop the technical and soft skills needed for our students to secure a job in their new career. Were Looking For: Someone with tenacity, passion, discipline and grit to join our team as a Medical Billing and Insurance Coding Instructor at our campus.
Proficiency with a laptop computer and GSuite apps (i.e. Gmail, Hangouts, and Drive, including Sheets and Docs); Required Knowledge Skills and Abilities (KSAs): Must have good attention to detail. About Transdev: Cities, counties, airports, companies, and universities across the U.S. contract with Transdev to operate their transportation systems, maintain their vehicle and fleets, and deliver on mobility solutions.