Medical Insurance Billing & Cash Posting

Agave Ridge Behavioral Hospital; Mesa (AZ); On-site; USD 42,000 - 60,000; Full time

Job summary

Agave Ridge Behavioral Hospital is seeking a Billing and Payment Specialist to ensure expedient and accurate billing for treatment services. This on-site, full-time role handles posting of payments, adjustments, and daily cash reconciliation across a group of facilities.

You will review and rebill claims, manage cycles, and monitor payment trends. Ideal candidates have at least 5 years of healthcare billing experience, strong MS Office skills, and the ability to handle confidential information

Qualifications

• High school diploma or equivalent.
• 5 years of job-related experience; healthcare setting preferred.
• Advanced Microsoft Office skills (Word, Excel, PowerPoint).
• Knowledge of office administration and equipment.
• Ability to handle confidential information professionally.
• Excellent interpersonal and communication skills.
• Strong organizational skills with attention to detail.
• Ability to manage multiple tasks within deadlines.

Responsibilities

• Bill all patient claims promptly and accurately.
• Review and correct claims issues; rebill and use the clearing house.
• Evaluate billing cycles and update processes as needed.
• Print daily billing reports and monitor validation rates.
• Process daily claims rejection lists.
• Post insurance and patient payments, contractuals, and adjustments.
• Review explanations of benefits for accuracy and escalate as needed.
• Prepare adjustment forms with supporting documentation.
• Prorate patient accounts and monitor balances.
• Maintain daily cash log and investigate variances.
• Analyze system data to guide timely payment actions.

Skills

Microsoft Office

Data confidentiality

Multitasking

Interpersonal skills

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Purpose Statement

The Billing and Payment Specialist is responsible for the expedient and accurate billing for treatment services posting of payments received for a group of facilities.

This is an onsite full-time, Mon-Fri opportunity!

Essential Functions

• Responsible for billing all patient claims in a timely manner.


• Review claims issues, make corrections as needed, and rebill. Utilize claims clearing house to review and correct claims and to resubmit electronically when available.


• Responsible for evaluating bill cycles and changing/updating when necessary.


• Responsible for printing daily billing reports – both electronic and paper claims. Monitor validation percent.


• Work daily claims rejection lists.


• Responsible for posting insurance and patient payments, contractuals, and all other adjustments.


• Review explanation of benefits to ascertain that claim processed and paid correctly. If processed incorrectly provide detail information to collector for follow up.


• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.


• Prorate patient accounts and monitor that balance due is in the correct financial class.


• Maintain daily cash log noting any variances on a daily basis.


• Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

Standard Expectations

• Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality.


• Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team.


• Develops constructive and cooperative working relationships with others and maintains them over time.


• Encourages and builds mutual trust, respect and cooperation among team members.


• Maintains regular and predictable attendance.

Education/Experience/Skill Requirements

• High school diploma or equivalent.


• 5 years of job-related experience, healthcare experience preferred.


• Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.


• Knowledge of office administration procedures with the ability to operate most standard office equipment.


• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.


• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.


• Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.


• Self-motivated with strong organizational skills and superior attention to detail.


• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.


• Capable of working within established policies, procedures and practices prescribed by the organization.


• English sufficient to provide and receive instructions/directions.

Licenses/Designations/Certifications

• Not Applicable

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHMKT