Senior Medical Billing & Denial Management Specialist

NOBILITY LLC; Chandler (AZ); On-site; USD 55,000 - 75,000; Full time

Job summary

Wet Willie's is seeking a Senior Revenue Cycle Representative in Chandler, AZ. The role involves preparing medical claims, interacting with clients and physicians, and managing denials. Candidates should have at least 4 years of experience in medical billing, a high school diploma or GED, and competency with medical billing software. This position requires effective communication skills and knowledge of HIPAA guidelines. Join our team to contribute to the medical billing process and improve patient outcomes.

Qualifications

• 4+ years of experience in medical billing, working with payer types including Medicare and Medicaid.
• Strong communication skills and ability to organize and prioritize workload.
• Familiarity with HIPAA guidelines.

Responsibilities

• Prepare and enter medical claims for billing.
• Obtain necessary documentation for claims submission.
• Contact clients and physicians for information regarding claims.
• Monitor and manage denial trends and carry out corrective actions.

Skills

Medical Claims Billing

Client/Physician Interaction

Denial Management

Effective Communication

Knowledge of Medical Coding Systems

Education

High School diploma or GED

Tools

Medical Billing Software

Job description

Job 160872 - Senior Revenue Cycle Representative
Chandler, AZ

• Medical Claims Billing: Prepares all medical claims for billing and enter into billing software system. Gathers appropriate documentation for claims submission. Resolves data entry errors for clean claim submissions
• Documentation: Obtains necessary documentation (updated medical order, clinical notes, patient agreement, etc.) and submits to insurance carrier for continued coverage determination.
• Client/Physician Interaction: Contacts clients and physician offices to relay and/or obtain pertinent information and/or documents to effect billing of claims.
• Data Entry: Creates patient records, charge entry and payment posting.
• Medical Collections:collection of past due accounts by following up with insurance companies to learn the status of claims. May also submit appeals on denied claims as required.
• Denial Management: monitoring and trending to include corrective actions on all denials

Requirements

• High School diploma or GED required (some college preferred)
• Minimum4 years of experience in medical billing
• Experience working with all payer types to include Medicare, Medicaid, and third party commercial insurance companies
• Technical Skills: Must have knowledge of all medical coding systems
• Demonstrates effective oral and written communication skills, follows procedures, works well independently, organize and prioritize workload.
• PC Competencies: Understand and have a working knowledge of the windows environment
• Experience with medical billing software essential
• Behavioral Competencies: Support Medical Billing Service’s vision and mission; maintain confidentiality of all work information; demonstrate an ability to function successfully in a team environment; exhibit courteous and respectful treatment of internal and external customers; display a positive attitude and flexibility in a changing situation; participate in identifying problems and suggesting solutions
• Must be fully aware of HIPAA guidelines and willing to implement them at all times with all patients