ON-SITE MEDICAL BILLING SPECIALIST

Sun Life Health; Casa Grande (AZ); On-site; USD 40,000 - 44,000; Full time

Job summary

Sun Life Health is seeking an Accounts Receivable Clerk for our Palm Center Admin location in Casa Grande, AZ. This full-time role (8:00am-5:00pm, Monday-Friday) handles payment posting, claims follow-up, and aging management to optimize cash flow.

The position requires a High School diploma, 5 years in medical office billing, and coursework in medical terminology and coding. Strong analytical and computer skills are essential.

Qualifications

• High School diploma or equivalency.
• Five years experience in a Medical Office billing environment.
• Courses in medical terminology and coding.
• Experience in problem solving and the use of analytical skills.
• Computer literate.

Responsibilities

• Manage receivables using the practice management system and Owner Lists.
• Post insurance payments to patient accounts.
• Run daily reports and reconcile with bank deposits.
• Update patient demographics as needed from E.O.B.
• Monitor aging buckets and aim to reduce 0–60 day balances to 65% of A/R.
• Rebill unacknowledged claims and assist with rebilling processes.

Skills

Accounts receivable

Medical billing

Analytical skills

Computer literate

Education

High School diploma

Medical terminology and coding courses

Tools

Practice management system

Bank reconciliation software

Access

Job description

Job Details: Job Location: PALM CENTER ADMIN - CASA GRANDE, AZ 85122, Position Type: Full-time, Salary Range: $20.00, Job Shift: 8:00am-5:00pm Monday-Friday

STATEMENT OF PURPOSE

To provide accounts receivable management services; including payment posting and claims follow-up.

ESSENTIAL FUNCTIONS

1. Manage the effective use of the Owner Lists in practice management system in the daily management of receivables:
   • Work Denial Review & Mail
   • Work aging accounts, focus on resolving aging buckets >61 days/high dollar accounts first
   • Work all miscellaneous work. Miscellaneous includes write-offs, appeals, refunds, medical records requests
2. On assigned payment days:
   • Obtain all copies of mail check E.O.B.s and patients payment remittance advices. These may be hard copies or from the clearinghouse and other available websites
   • Post all insurance payments to the proper patients account in the practice management system
   • Run day sheet from the practice management system and daily summary from Access on a daily basis, after posting is complete. Reconcile the sum of these two reports to the bank deposit slip for that day using the Daily Cash Reconciliation and report any irreconcilable differences to the Business Office Manager
   • Update patient demographics per E.O.B. information, when necessary
3. Make recommendations to the Business Office Manager when the need for improvements is noted in any area affecting accounts receivable
4. Monitor claims on an ongoing basis to ensure payment prior to or at 60 days aging as the goal. 65% of the A/R should reside in the 0-30 and 31-60 days buckets
5. Monitor for unacknowledged claims and ensure that they are re-billed in a timely manner
6. Participate with billing office personnel in the correcting and rebilling process of all claims not adjudicated upon initial billing
7. Keep the Business Office Manager up-to-date on statistical information regarding the correcting and rebilling process of all claims not adjudicated upon initial billing
8. Design and manage appropriate feedback loops so that the issues discovered as causing payment delays are not perpetually repeated
9. Notify the Business Office Manager when charges, payments or adjustments are not being correctly dispersed in the practice management system
10. Participate in group projects as needed to correct billing issues in the practice management system and related software

Qualifications

• High School diploma or equivalency
• Five years experience in a Medical Office billing environment
• Courses in medical terminology and coding
• Experience in problem solving and the use of analytical skills
• Computer literate