Billing Specialist

Phoenix Children's Hospital, Inc.; Phoenix (AZ); Remote; USD 42,000 - 64,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking an Internal candidate for a full-time billing coordinator role working remotely.

The position coordinates and facilitates all billing activities, ensuring clean claims by tracking accounts through the billing process, and applying CMS regulations and payer requirements to optimize reimbursement. Responsibilities include handling electronic and manual bills, interpreting reports, updating demographics, and prioritizing urgent accounts to meet

Qualifications

• Experience in hospital billing workflows and claims processing.
• Knowledge of CMS guidelines and regulatory requirements.
• Ability to interpret billing reports and produce accurate claims.
• Detail-oriented with strong prioritization of accounts.

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 ensure accurate claims.
• Meets productivity standards and completes daily assignments accurately.
• Analyzes coding to assure proper billing of claims.
• Participates in hospital educational programs to maintain skills.
• Requests and attaches required clinical documentation in accordance with third party requirements.
• Serves accounts in priority order and manages CMS regulations for timely reimbursement.
• Performs miscellaneous duties as requested.

Skills

Billing

Claims processing

Regulatory knowledge (CMS)

Attention to detail

Prioritization

Job description

This posting is for Internal candidates only. To apply, you must log into the Careers site and you must be an active Phoenix Children's Employee.

Location: Telecommuting

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

Posting #: 1067199

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

This position is only accepting internal candidates. If you are a Phoenix Children's employee, please Log In to apply to this position.