BILLING SPECIALIST / CODER

Select Ortho; Tucson (AZ); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Paid vacation

Paid sick leave

Paid holidays

Job summary

Select Ortho in Tucson, AZ is seeking a Billing Specialist/Medical Coder to act as a liaison with external billing departments and support internal billing needs. The role focuses on insurance follow-up and accounts receivable management, with experience in DME or Podiatry a plus.

Key duties include timely filing of claims, maintaining AR performance, working denials, coordinating across software systems, and communicating billing updates to clinics and management.

Qualifications

• Medical Billing experience required.
• Certified Medical Coder preferred.
• Knowledge of medical insurance carriers and Medicare.

Responsibilities

• Timely filing of claims.
• Maintain a 95% net collection rate or higher for clinics.
• Work denials emailed by in-house billing staff.
• Use multiple software systems to achieve AR results.
• Furnish invoices for claims when requested.
• Communicate billing and insurance updates with staff and management.

Skills

Communication Proficiency

Organizational Skills

Time Management

Attention to Detail

Tools

Excel

Word

Job description

Job Details

Job Location: Tucson, AZ 85715

Position Type: Full Time

Education Level: None

Travel Percentage: None

Benefits

The high value we place on our employees is reflected in our competitive pay and exceptional benefits package, which includes Medical insurance (company pays 75% of the premium), Dental and Vision (company pays 100% of the premium), free life insurance, generous paid vacation time, paid sick time, paid company holidays, and more!

Position Summary

A Billing Specialist/ Medical Coder serves as a liaison to outside clinic’s billing departments and to assist with internal billing needs. The Billing Specialist/ Medical Coder is responsible for insurance follow up and Accounts Receivable Management. This position may also be responsible for Charge Review, Claims Mailing, Documentation Attachment and other duties as necessary to get charges submitted. Experience in DME or Podiatry is a plus!

Essential Functions

• Timely filing of claims
• Actively working to maintain a 95% net collection rate or higher for all clinics
• Work denials that are emailed by in house billing of clinics or DME Coordinators
• Work in multiple software systems to accomplish AR results
• Manage assigned Work Ques independently
• Furnish invoices for WCC claims when requested
• Daily, weekly, or monthly tracking and reporting
• Participation in weekly conference calls
• Tracking and organizing insurance information
• Effectively communicating outstanding A/R with clinics and management
• Effectively communicating billing, insurance, and coverage criteria updates with staff and management
• Help with administrative assignments and projects as needed
• Serve as the liaison to clinic billing departments
• Keep up with compliance, coverage criteria, ICD-10 information and update all employees as needed
• Other duties, as assigned

Required Experience

• Medical Billing experience at least 2 years
• Certified Medical Coder, preferred
• General knowledge of medical insurance carriers and Medicare
• The ability to work quickly and accurately, and pay attention to detail
• Skills in answering a telephone in a pleasant and helpful mannerEstablish and maintain effective working relationships with patients, employees and the public.
• Experience with All Microsoft Office Products – Excel and Word mandatory
• DME or Podiatry Billing experience is a plus!
• Supervisory/Leadership Experience preferred

Competencies

• Communication Proficiency
• Ethical Conduct
• Organizational Skills
• Time ManagementThoroughness

Work Environment

This position requires professional behavior and consideration of our Client’s staff at all times.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This is largely a sedentary role. While performing the duties of this job, the employee is required to communicate effectively. The employee may also be required to perform high functioning dexterity tasks.