Billing Specialist II

Paycom - ATS; Phoenix (AZ); On-site; USD 48,000 - 70,000; Full time

Job summary

Paycom - ATS in Phoenix, AZ is seeking a Medical Billing Specialist II to ensure revenue cycle objectives are met, handling complex claims and denials. This role emphasizes accuracy, HIPAA compliance, and teamwork.

The ideal candidate will have 5+ years of billing experience, strong Excel and EMR skills, and the ability to train front desk staff while improving denial management strategies. Strong attention to detail is essential.

Qualifications

• Minimum 5 years experience in billing coordination or a similar role.
• Solid understanding of billing software and EMR systems.
• Knowledge of Medicare/Medicaid billing laws and practices.
• Ability to problem solve and develop solutions.

Responsibilities

• Assist with special projects and training related to billing processes.
• Identify and resolve complex claims and billing issues, including payer-rejected claims.
• Investigate payer-rejected claims to determine denial reasons and obtain resolution.
• Develop strategies to reduce denials based on denial reasons and changing practices.
• Monitor claim rejections and report denial percentages regularly.
• Assist in preparing reports from the EHR system and train front desk staff on eligibility.

Skills

Billing coordination

Denial resolution

Revenue cycle management

Excel

Communication skills

Attention to detail

Problem solving

Multitasking

Training

HIPAA compliance

Education

High school diploma

Tools

Athena

EMR (Electronic Medical Records)

Job description

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.Essential Functions:Responsible for all special projects assigned from leadershipProvide training as needed related to billing processesIdentify and resolve complex claims and billing issues. (including payer-rejected claims).Investigate payer- rejected claims to determine reason for denial.and work to obtain resolution.Determine strategies to reduce denials based on denial reasons, changing laws and practices.Prioritize and work HOLD an MGR HOLD buckets.Monitor claim rejections percentages and report denial percentages regularly.Prepare reports out of the EHR system as needed.Regularly interact and assist in training of the front desk staff concerning patient insurance eligibility.Support the revenue cycle by ensuring claims are dropped within 3 business days of service.Performs other duties as required.Required Qualifications:Minimum of 5 years experience as a billing coordinator or specialist or similar position.Solid understanding of billing software and electronic medical records.Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing.Ability to problem solve and develop solutions.Great attention to detail and highly organized.Excellent communication and interpersonal skills.Understanding of HIPAA regulations and medical terminologyRequirements:High school diploma requiredMinimum of one-year experience in bookkeeping/accounts payable.Experience with Excel required, Athena preferred.Physical and Mental Requirements:Position requires extended periods of sitting and standing including bending and reachingHandles stress in a positive mannerAbility to be flexible and to multitaskDemonstrated interest in working with an under-served population