Medical Biller - CHS (Prescott)

Yavapai County; Prescott (AZ); On-site; USD 42,000 - 56,000; Full time

Job summary

Yavapai County Community Health Services is seeking a detail-oriented Medical Biller to join our team. Ideal candidate will have experience with EHR systems, specifically NextGen, and familiarity with FQHC billing and collections.

The role involves entering and adjusting patient data, researching claim issues, and communicating with patients and insurers. A high school diploma is required, along with at least three years of healthcare billing experience and a valid Arizona driver’s license.

Qualifications

• Experience in healthcare billing and collections.
• Proficiency with electronic health records (EHR), specifically NextGen.
• FQHC background preferred.
• Valid Arizona driver’s license required.
• Fingerprint clearance card issued by Arizona DPS required.

Responsibilities

• Enter and adjust patient and billing information to meet month-end deadlines.
• Research charge issues and contact insurers to determine claim processing.
• Answer calls from patients and insurers regarding inquiries.

Skills

EHR experience

NextGen

Billing & collections

Education

High school diploma or equivalent

Tools

Practice Management System

EHR software

Job description

Medical Biller

Yavapai County Community Health Services is seeking a detail-orientated Medical Biller to join our team. Ideal candidate will have experience in electronic health records (EHR), specifically NextGen, Federally Qualified Health Centers (FQHC), and collections.

Review complete class specification for Medical Biller here.

• Enters and adjusts patient and billing information on a timely basis in order to meet month end processing, billing deadlines, and statement cycles.
• Researches charge issues and calls insurance companies to be able to make final decisions on how to process a claim.
• Answers incoming telephone calls and assists both patients and insurance companies with various inquiries.
• Posts payments from payers in a timely manner into the Practice Management System.
• Resolves unpaid and under-paid insurance billings. Refunds overpayments for medical services as needed.
• Researches, corrects, and re-files rejected claims in order to receive payment.
• Produces, batches, and submits all electronic claims to appropriate payers.
• Produces, batches, and mails paper claims to appropriate payers.
• Monitors Accounts Receivable Aging Report and follows up with payers regarding outstanding claims; resolves all payer payment and billing issues; keeps current on technical issues that could affect full and timely payment of claims that could adversely affect clinic cash flow.
• Contributes to efforts to expand funding base and maximize billings.
• Performs other job-related duties as assigned.

Education:
High school diploma or equivalent.

Experience:
A minimum of three (3) years of healthcare billing experience.

Additional Requirements:
Must possess a valid Arizona driver’s license.
Must possess a current fingerprint clearance card issued by the Arizona Department of Public Safety.