Medical Biller/Insurance follow up- Full time

HOPCo; Phoenix (AZ); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health benefits

HSA with company match

401k plan after 6 months

Employee Assistance Program (EAP)

Wellness events

Employee appreciation days

Job summary

The CORE Institute is seeking a Medical Biller/Insurance follow-up in a full-time role at our Phoenix location.

We offer comprehensive benefits including healthcare, a monthly stipend for ancillary benefits, an HSA with company match, and a 401(k) plan with company matching after six months. The role focuses on denials review, eligibility verification, and accurate revenue-cycle management.

Qualifications

• Minimum two to three years of experience in medical billing.
• Must communicate effectively with physicians, patients, and the public and establish good working relationships.
• HSD/GED required.

Responsibilities

• Review insurance denials and determine the next steps to resolve denials.
• Verify patient demographics and insurance eligibility including coordination of benefits.
• Confirm receipt and timeliness of claims with insurance plans.
• Research information needed to complete the billing process.
• Obtain and attach referrals/authorizations to appointments/charges.
• Maintain productivity and accuracy metrics per department expectations.
• Reduce accounts receivable by addressing outstanding balances.
• Analyze accounts for proper claims processing and payment posting.
• Identify trends and communicate issues to management.
• Follow HOPCo policies and Revenue Cycle procedures.

Skills

Medical billing

Communication

Education

HSD/GED

Tools

GE Patient Management System

ICD-10 coding

CPT coding

Job description

Medical Biller/Insurance follow up- Full time

Job Category: Corporate

Requisition Number: MEDIC012755

• Full-Time

Locations

Showing 1 location

Description

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

Minimum Qualifications :

• Minimum two to three years of experience in medical billing.
• Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
• HSD/GED

Preferred:

• Knowledge of computer systems. Experience with GE patient management system p
• Knowledge of the physician billing processes, ICD-10, and CPT coding.

Essential Functions

• Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
• Verifies receipt of claim with insurance plans, determining the next appropriate action steps and timeliness of claims maximum reimbursement.
• Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
• Obtains and attaches referrals/authorizations to appointments/charges.
• Maintains productivity and accuracy metrics per department expectations and AEIOU Behavioral Standards.
• Assumes full responsibility for reducing the accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
• Identifies and communicates trends and/or potential issues to the management team.
• Follows and maintains all HOPCo policies and procedures, including those specific to billing and the Revenue Cycle.

About us:

The Center for Orthopedic Research and Education , We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?

#1 for Healthiest Healthcare Employers

#3 for Best Healthcare Workplace Culture

Winner in Best Places to Work

Equal Opportunity Employer
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