Medical Biller/Insurance follow up- Full time

The CORE Institute; Phoenix (AZ); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health insurance

HSA with company match

401k plan

Employee Assistance Program

Employee appreciation days

Wellness events

Monthly stipend toward ancillary benef

Job summary

The CORE Institute in Phoenix, AZ is seeking a Full-time Medical Biller/Insurance Follow Up to manage billing, insurance follow ups, and claims processing.

The role requires 2-3 years of medical billing experience, strong communication with physicians, patients, and staff, and GED/HSD. Benefits include health/welfare, 401k with company match, and a monthly stipend toward ancillary benefits.

Qualifications

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

Responsibilities

• Reviews insurance denials and rejections to determine the next steps and obtain information to resolve denials.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates as necessary.
• Verifies receipt of claim with insurance plans and determines next steps and timeliness of claims for maximum reimbursement.
• 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 expectations and AEIOU Behavioral Standards.
• Reduces accounts receivable of insurance balances by working through outstanding accounts.
• Analyzes accounts for proper claims processing and payment posting.
• Identifies and communicates trends and issues to management.
• Follows all policies and procedures related to billing and Revenue Cycle.

Skills

Billing experience

Communication

Interpersonal skills

Education

HSD/GED

Tools

GE patient management system

Job description

Medical Biller/Insurance follow up- Full time

Job Category: Corporate

Requisition Number: MEDIC012755

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.