Billing Specialist

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 42,000 - 60,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Full-Time Billing Coordinator to oversee billing activities from patient accounts through the billing process with payors to ensure timely, accurate claims.

The role requires handling electronic and manual billing, interpreting processing reports, and maintaining regulatory knowledge to maximize clean claims and compliance.

Qualifications

• One year of experience in hospital, clinic, or medical office billing with third party payors or self-pay
• One year of experience in electronic billing
• Experience with AMPFM/SCM platform, medical terminology and HIPAA privacy laws (preferred)

Responsibilities

• Bills both electronically and manually as needed to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information to produce a clean claim.
• Meets or exceeds productivity standards with daily assignments.
• Analyzes coding to assure proper billing of claims.
• Participates in hospital educational programs to maintain skills.
• Requests and attaches required clinical documentation per third party requirements.
• Services accounts prioritizing urgency and agency regulations for timely turnaround.
• Performs miscellaneous duties as requested.

Skills

Billing

Medical terms

HIPAA

AHCCCS

Billing systems

Education

High school diploma or GED

Tools

AMPFM/SCM

Electronic billing software

Job description

Location: Phoenix

Shift: Mon-Fri, Days, 8am-5pm

Posting #: 1015154

Employee Type: Full-Time

Position Summary

This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.

Position Duties

• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information as necessary in order to produce a clean claim.
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
• Analyzes coding to assure proper billing of claims.
• Participates in a variety of hospital educational programs to maintain current skill and competency levels.
• Requests and attaches required clinical documentation in accordance with third party requirements.
• Services accounts in priority of importance, independently bills accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turn around time.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. High school diploma or GED Required Yes No

Experience

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. One (1) year of experience in a hospital, clinic, or similar medical office setting working with or responsible for billing AHCCCS, HMO’s, other third party payors and self pay using a centralized computer-based patient admission or billing system. Required Yes No 2. One (1) year of experience in electronic billing. Required Yes No 3. Experience with AMPFM or SCM platform, medical terminology and HIPAA privacy laws. Preferred Yes No

Special Skills

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement? 1. Follow any payer or governmental requirement as required by the organization. Required Yes No

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally

2. Physical Requirement - Hearing - Constantly

3. Physical Requirement - Reaching - Occasionally

4. Physical Requirement - Sitting - Constantly

5. Physical Requirement - Standing - Occasionally

6. Physical Requirement - Talking - Constantly

7. Physical Requirement - Walking - Occasionally

8. Physical Requirement - Near Vision - Constantly

9. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly

10. Occupational Exposure/Risk Potential - Inside office environment - Applicable

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree