Full-Cycle Medical Billing & Collections Specialist

AAPC; Scottsdale (AZ); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Student loan repayment program

Proactive Health Management Plan

Dental, vision, life, and other ins.

Paid time off

CE funds

401(k) matching

Employee Assistance Program

Employee referral bonus

HSA/Wellness programs

Job summary

Spooner, Arizona's leading physical therapy private practice, seeks a Medical Biller - Full Cycle to join on-site in North Scottsdale. You will handle billing, denials, patient statements, and communications with patients and payers to ensure accurate, timely payments.

The role emphasizes attention to detail, customer service excellence, and compliance with billing guidelines. Candidates should have a high school diploma, 2-3 years of medical billing experience, Medicaid billing experience

Qualifications

• Minimum high school diploma or GED.
• Minimum of 2-3 years experience working in a medical field.
• Medicaid Billing experience preferred.
• Excellent customer service and communication skills.
• Must sign up for ID.me within 30 days of hire.

Responsibilities

• Provide a communication hub to and from the company, patients, clinic teams, referring providers, clearing house, and payers regarding benefit eligibility, payments, and denials (including authorization guidelines).
• Accurately verify benefits and eligibility to ensure that our patients can make informed decisions in regard to the cost associated with their healthcare plan, while documenting eligibility and benefits within our systems.
• Successfully schedule our patients with the goal of exceeding their expectations timely, conveniently, and with the right provider or specialist.
• Answer inbound calls in order of when they are received.
• Create and maintain multiple scheduling logs such as daily call volume, unscheduled cases, call attempts completed, daily verification log, etc.
• Obtain prior authorization for new patients/initial authorizations scheduled by Central Client Services.
• Re-verification of benefits for all active Spooner patients on a standard schedule.
• Run daily verification reports.
• Process all charge entry and claims submission functions, including coding and managing rejections.
• Review status of patient accounts to identify and resolve billing and processing problems in a timely manner.
• Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed.
• Review patient statements for accuracy and completeness and obtain any missing information.
• Review and analyzing claim denials in order to perform the appropriate resolution, rebilling, and/or appeals steps.
• Receive insurance correspondences, such Explanation of Benefits (EOB) and research appropriate claims steps, such as first or second appeal.
• Communicate daily with insurance carriers to track and check status of appeals.
• Research reasons of denial from first appeal and incorporate more in-depth rebuttals for second appeals.
• Prepare an analytical summary report identifying areas of concern by dollar amount, volume and new denials.
• Resolve tasks assigned to you and to billing.

Skills

Customer service

Communication skills

Detail oriented

Problem solving

Education

High School diploma or GED

Job description

Spooner, Arizona's leading physical therapy private practice, seeks a Medical Biller - Full Cycle to join on-site in North Scottsdale. You will handle billing, denials, patient statements, and communications with patients and payers to ensure accurate, timely payments.

The role emphasizes attention to detail, customer service excellence, and compliance with billing guidelines. Candidates should have a high school diploma, 2-3 years of medical billing experience, Medicaid billing experience