Medical Billing & Insurance Follow-Up Specialist

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Monthly $43 stipend toward ancillary/円

HSA with qualifying HDHP plans with公司匹

401k with company match

Employee Assistance Program (24/7)

Employee Appreciation Days

Employee Wellness Events

Job summary

Healthcare Outcomes Performance Co. (HOPCo) seeks an experienced medical billing specialist in Phoenix to manage claims, verify demographics and eligibility, and resolve denials, ensuring timely reimbursement.

The role emphasizes accurate data handling and interaction with physicians, patients, and external partners. Essential duties include processing referrals, maintaining productivity metrics, and upholding HOPCo policies within the revenue cycle.

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

Responsibilities

• 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.

Skills

Medical billing

Communication

Education

HSD/GED

Tools

GE patient management system

Job description

Healthcare Outcomes Performance Co. (HOPCo) seeks an experienced medical billing specialist in Phoenix to manage claims, verify demographics and eligibility, and resolve denials, ensuring timely reimbursement.

The role emphasizes accurate data handling and interaction with physicians, patients, and external partners. Essential duties include processing referrals, maintaining productivity metrics, and upholding HOPCo policies within the revenue cycle.