Medical Billing Specialist

Ledgent-Finance-; Phoenix (AZ); On-site; USD 28,000 - 40,000; Full time

Job summary

Ledgent Finance & Accounting is seeking a Medical Billing Specialist in Phoenix, AZ for a temporary, in-office role. The position focuses on efficient billing, collections and AR management within homecare services.

The candidate should have at least 3 years of homecare billing experience, be proficient with Excel/Word, and capable of handling payer contracts and disputes with strong communication skills.

Qualifications

• Minimum 3 years’ experience in homecare billing and collections management.
• Experience with AZ AHCCCS Long Term Care billing preferred but not required.
• Experience using billing information systems.
• Knowledge of corporate business management and governmental regulations.
• Discretion, independent judgment, and strong communication, negotiation, and public relations skills.
• Capable of accurately managing detailed information.
• Proficiency in Excel and Word.
• Experience with EVV Aggregation System is a plus.

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Review billable claims in required systems and coordinate with pre-billing team for issues.
• Submit billing, collections, and AR functions accurately and timely.
• Understand payer contracts and ensure billing per contract provisions.
• Stay updated on payer changes and communicate impacts to leadership.
• Represent agency in resolving payer conflicts.
• Collaborate with Controller and Director of Operations on payer requests.
• Monitor aged accounts receivable and prepare debt reports.
• Resubmit unpaid, denied, or late claims as needed.
• Gather, monitor and report key billing information to leadership.
• Assist in setting monthly/quarterly/annual goals for billing efficiency.
• Reconcile billing system reports with the general ledger.

Skills

Homecare billing

Accounts receivable

Excel

Word

Communication

Negotiation

Tools

Billing information systems

EVV Aggregation System

Job description

Medical Billing Specialist (JN -102026-433215) Phoenix, Arizona

Salary: USD25 - USD25 per hour

Position Overview

Ledgent Finance & Accounting is currently seeking a Medical Billing Specialist to join a dedicated team in Arizona. The role focuses on ensuring efficient billing and collections operations while maintaining accounts receivable management. This position requires a detailed-oriented professional with a strong background in homecare billing and collections management.

**This is a Temporary position. 100% in-office.**

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Conduct review of billable claims info in all required systems for billing submission and work collectively with pre-billing team when findings require further investigation and resolution.
• Manage accurate and timely submission of all billing, collections, and accounts receivable functions for the agency.
• Comprehensive working knowledge of payer contracts and ensuring that payers are billed according to contract provisions.
• Stay informed and up to date on payer changes related to new policy and procedure requirements that affect the agency and communicate these changes clearly and concisely to the Controller and Director of Business Operations HCS & Finance.
• Represent and act on behalf of the agency in resolving conflicts with payers.
• Collaborate with Controller and Director of Business Operations HCS & Finance in matters of accepting/declining problematic payer requests and responses.
• Monitor aged accounts receivables and prepare outstanding debt reports.
• Resubmit unpaid, denied, corrected, and late claims to payers related to any and all billing issues.
• Gather, monitor, and report key billing information to Controller and Director of Business Operations HCS & Finance.
• Work with Controller and Director of Business Operations HCS & Finance in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
• Collaborate with Controller and Director of Business Operations HCS & Finance in successfully reconciling the billing system reports with the general ledger.
• Establish and maintain effective working relationships with co-workers at all levels, consumers, caregivers, payers, and referral sources.
• Protect the confidentiality of Consumers, Caregivers, and agency information through effective controls.
• Perform other duties as assigned by Supervisor.

Qualifications and Experience

• A minimum of 3 years’ experience in homecare billing and collections management.
• Experience with AZ AHCCCS Long Term Care billing preferred but not required.
• Experience using billing information systems.
• Knowledge of corporate business management and governmental regulations.
• Ability to exercise discretion, independent judgment, and demonstrate good communication, negotiation, and public relations skills.
• Demonstrated capability to accurately manage detailed information.
• Computer/Software skills and proficiency in Excel & Word.
• Experience with EVV Aggregation System is a plus.

Work Hours

8:00 AM – 5:00 PM, Monday – Friday.

Competitive compensation package with a minimum pay of $25 per hour.