Medical Biller (Phoenix)

The Intersect Group; Phoenix (AZ); Hybrid; USD 52,000 - 80,000; Full time

Benefits offered by this job

Hybrid work setting

On-site Wednesdays in Phoenix

Training at employee's pace

Job summary

The Intersect Group is seeking a healthcare revenue cycle specialist to build, review, and submit clean hospital claims, ensuring accuracy and regulatory compliance.

You will work in a fast-paced, hybrid environment, handling high-volume UB-04 submissions, including DRGs, across payer systems with on-site Wednesdays in Phoenix.

Qualifications

• 3+ years hospital billing experience preferred.
• Strong knowledge of UB-04 billing, DRGs, inpatient/outpatient billing, type of bills.
• Experience resolving claim edits and producing clean claims for submission.
• Ability to manage a high-volume workload while maintaining accuracy.
• Strong communication, problem-solving, and organizational skills.
• Comfortable working across multiple systems and technologies.
• Must be able to work on-site in Phoenix every Wednesday.

Responsibilities

• Prepare and submit clean UB-04 hospital claims, both electronic and paper.
• Review and resolve claim edits, denials, rejections, and return mail issues.
• Analyze billing data, coding, DRGs, type of bills, and supporting documentation to ensure accurate claim submission.
• Maintain compliance with payer, CMS, and regulatory billing requirements.
• Research and update demographic, insurance, and account information to facilitate payment.
• Navigate multiple billing, registration, and payer systems to manage high-volume workflows.
• Prioritize accounts effectively to maximize turnaround times and claim accuracy.

Skills

Hospital billing

UB-04 billing

DRGs

High-volume workload management

Communication skills

Problem solving

Job description

Join a fast-paced healthcare revenue cycle team focused on front-end claim generation and billing accuracy. This role is responsible for building, reviewing, and submitting clean hospital claims, resolving billing edits and rejections, and ensuring compliance with payer and regulatory requirements.

Key Responsibilities

• Prepare and submit clean UB-04 hospital claims, both electronic and paper.
• Review and resolve claim edits, denials, rejections, and return mail issues.
• Analyze billing data, coding, DRGs, type of bills, and supporting documentation to ensure accurate claim submission.
• Maintain compliance with payer, CMS, and regulatory billing requirements.
• Research and update demographic, insurance, and account information to facilitate payment.
• Navigate multiple billing, registration, and payer systems to manage high-volume workflows.
• Prioritize accounts effectively to maximize turnaround times and claim accuracy.

Qualifications

• 3+ years of hospital billing experience preferred
• Strong knowledge of UB-04 billing, DRGs, inpatient/outpatient billing, type of bills, and interim billing.
• Experience resolving claim edits and producing clean claims for submission.
• Ability to manage a high-volume workload while maintaining accuracy.
• Strong communication, problem-solving, and organizational skills.
• Comfortable working across multiple systems and technologies.
• Must be able to work on-site in Phoenix every Wednesday.

Preferred

• Experience with high-dollar hospital claims.
• Experience using hospital billing, clearinghouse, EOB, and payer portal systems.

What we offer

• Hours: Full-time
• Benefits: Eligible
• Training: 1x1 at the employee's pace
• Setting: Hybrid