Medical Billing Specialist: Claims, Rejections & ERA/EFT

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 40,000 - 55,000; Full time

Job summary

Healthcare Outcomes Performance Co. (HOPCo) is seeking a medical billing specialist in Phoenix, Arizona. This position requires maintaining productivity and accuracy metrics, resolving claim errors, and managing patient and insurance information.

The ideal candidate will have at least two years of experience in medical billing, knowledge of ICD-10, HCPS, and CPT codes, and advanced computer skills. The role offers the opportunity to work in a dynamic team focused on efficiency and accuracy in claims processing.

Qualifications

• Minimum two to three years of experience in medical billing.
• Prior experience working claim errors in a claims management system is preferred.
• Understanding of revenue cycle vendor-supplied software is an advantage.

Responsibilities

• Maintain productivity and accuracy metrics.
• Resolve claim errors in the claims management system.
• Review insurance rejections and determine appropriate action.
• Correct billing errors and resubmit claims.
• Verify patient demographic information and insurance eligibility.
• Communicate trends to management.
• Maintain payer website user access.
• Manage system maintenance of master files.
• Handle EDI, ERA, and EFT enrollments for payers.

Skills

Medical billing experience

Knowledge of ICD-10, HCPS, and CPT codes

Advanced computer skills

Experience with claims management systems

Knowledge of revenue cycle applications

Education

High school diploma or GED

Job description

Healthcare Outcomes Performance Co. (HOPCo) is seeking a medical billing specialist in Phoenix, Arizona. This position requires maintaining productivity and accuracy metrics, resolving claim errors, and managing patient and insurance information.

The ideal candidate will have at least two years of experience in medical billing, knowledge of ICD-10, HCPS, and CPT codes, and advanced computer skills. The role offers the opportunity to work in a dynamic team focused on efficiency and accuracy in claims processing.