Medical Biller/Insurance follow up- Full time

The CORE Institute; Phoenix (AZ); On-site; USD 42,000 - 66,000; Full time

Benefits offered by this job

Competitive Health & Welfare Benefits

Monthly $43 stipend toward ancillary、

HSA with qualifying HDHP plans with公司匹

401k plan after 6 months

Employee Assistance Program 24/7

Employee Appreciation Days

Employee Wellness Events

Job summary

The CORE Institute in Phoenix, AZ is seeking a Medical Biller/Insurance Follow-Up to join our corporate team. The role focuses on reviewing insurance claims, verifying patient information, and ensuring timely reimbursements, with emphasis on reducing denials and improving cash flow.

Candidates should have 2–3 years of medical billing experience, strong communication skills, and familiarity with physician billing processes, ICD-10, CPT coding, and GE patient management systems.

Qualifications

• Minimum 2–3 years of experience in medical billing.
• Must communicate effectively with physicians, patients, and the public and establish good working relationships with internal and external customers.
• HSD/GED.
• Knowledge of physician billing processes, ICD-10, and CPT coding.

Responsibilities

• Reviews insurance denials and rejections to determine next action steps and resolve outstanding denials.
• Verifies patient demographic information and insurance eligibility, including coordination of benefits; updates as necessary for claims processing.
• Verifies receipt of claims with insurance plans and determines next steps and timeliness of reimbursements.
• Researches information needed to complete the billing process from providers, ancillary services staff, and patients.
• Obtains and attaches referrals/authorizations to appointments/charges.
• Maintains productivity and accuracy metrics per department standards.
• Assumes responsibility for reducing accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes accounts for proper claims processing and payment posting via inquiries.
• Identifies trends or potential issues and informs management.
• Follows policies and procedures related to billing and Revenue Cycle.

Education

HSD/GED

Tools

GE patient management system

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
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.