Office Billing Specialist

Delphi Technologies; Peoria (AZ); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Competitive wages

Mon-Fri schedule

Company Paid Holidays

Medical coverage option

Supplemental coverage options

Paid Time Off

Paid Sick Time

Employee Assistance Programs

Job summary

Cardiac Solutions is seeking an Office Charge Entry Billing Specialist-Data Entry to accurately post charges and payments across multiple offices, ensuring maximum reimbursement for physician services. You will balance daily transactions and maintain HIPAA compliance.

Experience with Centricity, collaboration with physicians and back-office staff, and resolving missing charges and claim edits are essential.

Qualifications

• Knowledge of Microsoft Office products.
• Knowledge of Medical Billing CPT/ICD-10/HCPCS codes.
• Knowledge of insurance carrier contracts.
• Knowledge of HIPAA regulations.
• Knowledge of medical terminology.
• Ability to work in a fast-paced environment and work well under pressure.
• Ability to work with currency and make change.
• Skill in working with an EMR system.
• Skill in communicating with insurance carriers and patients to get claims paid and collect balances.
• Ability to maintain confidentiality and professionalism.

Responsibilities

• Retrieve charges entered by physicians for all offices.
• Post monies collected at all offices and balance daily.
• Ensure CPT and diagnosis codes align with Centricity before approval.
• Resolve upfront claim edits and errors.
• Ensure compliance with carrier regulations for billable services.
• Follow up on missing charges, diagnosis codes, and claims on hold.
• Communicate billing needs with doctors and back-office staff.
• Complete daily batch with charges within 3-day protocol.
• Batch and submit claims daily.
• Assist department staff with projects.
• Maintain HIPAA confidentiality.

Skills

Microsoft Office

Medical Billing

CPT/ICD-10

HIPAA regulations

Medical terminology

EMR system

Insurance communication

Confidentiality

Education

Two years of medical billing experience

Tools

Centricity

Job description

The leading cardiology group in the West Valley is expanding and looking to add valuable and skilled team members to our comprehensive and long-standing Practice.

Cardiac Solutions provides a personalized, team-oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients.

• Competitive wages
• Monday - Friday for most positions
• 7 Company Paid Holidays*
• Employee Medical coverage option as low as $25.00 per paycheck*
• Supplemental coverage options to include Life/AD&D, Short-Term, Long-Term, Critical Illness, Hospital, Accidental
• Paid Time Off*
• Paid Sick Time
• Employee Assistance & Discount Programs

*Available to full-time, regular employees* - Restrictions may apply

POSITION SUMMARY:

The Office Charge Entry Billing Spcialist-Data Entry position is responsible for accurate, timely posting off all charges to ensure the maximum reimbursement for services performed by the physicians. Responsible for accurate, timely posting of payments received in the offices and daily balancing thereafter.

ESSENTIAL JOB DUTIES:

• Responsible for retrieving charges that are entered in by the physicians for all offices.
• Responsible for posting monies collected at all offices locations.
• Confirms charges are entered into Centricity with correct CPT and diagnoses codes before approving.
• Responsible for resolving upfront claim edits and errors.
• Responsible for ensuring the compliance of carrier regulations as it pertains to billable services.
• Responsible for the follow-up of all missing charges and or diagnosis codes, and claims on hold for further information.
• Communicate with doctors and back-office staff for billing necessities.
• Complete assigned batch with daily charges within the 3-day protocol required.
• Batch and submit claims daily.
• Assists the department staff with projects.
• Maintain patient confidentiality by following HIPAA policies and procedures.
• Other duties as assigned per the need of the organization and within scope of position.

Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of Microsoft Office products.
• Knowledge of Medical Billing, CPT and ICD-10, and HCPCS codes.
• Knowledge insurance carrier contracts.
• Knowledge of HIPAA regulations.
• Knowledge of medical terminology.
• Ability to work in a fast-paced environment and work well under pressure.
• Ability to work with currency and make change.
• Skill in working with an EMR system.
• Skill in communicating with insurance carriers as well as patients to get claims paid and collect any account balances.
• Ability to maintain confidentiality and maintain professionalism.

EDUCATION AND/OR EXPERIENCE:

• Two years of medical insurance billing experience.
• Proficiency in researching data for analysis and closure in the account receivable arena.
• Excellent customer service skills.
• Excellent verbal and written communication skills.
• Excellent analytical and problem-solving skills.
• Must possess a strong attention to detail.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical/work environment functions apply:

• Sit for extend periods of time, stand, talk, bend or hear.
• Type, utilizing a computer keyboard and mouse.
• May lift up to 25 lbs.
• Utilize a multi-line telephone system.

Full-Time/Part-Time Full-Time

Shift -not applicable-

Travel Requirements

Exempt/Non-Exempt Non-Exempt

Location Peoria Office

About the Organization Cardiac Solutions is a medical, physician-owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in YOUR total heart care. Our board-certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands.

With our intensive educational opportunities through nurse-directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you not only build a relationship with your physician, but with the many members of our TEAM, all of whom are focused on YOUR heart health.

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

This position is currently accepting applications.