Billing Specialist (JN -092026-430635) Phoenix, Arizona
Salary: USD21 - USD23.75 per hour
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.
- Proficiency with Microsoft Office, particularly Excel.
- Strong attention to detail and organizational skills.
Preferred
- Associate's degree in Healthcare Administration, Business, or related field.
- Certified Professional Biller (CPB) or related revenue cycle certification.