Billing Specialist

Position Summary

This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.

Responsibilities

• Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.
• Interprets claims processing reports and applies information to produce clean claims.
• Maintains current knowledge of regulatory billing requirements.
• Makes changes to demographic information as necessary in order to produce a clean claim.
• Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
• Analyzes coding to assure proper billing of claims.
• Participates in a variety of hospital educational programs to maintain current skill and competency levels.
• Requests and attaches required clinical documentation in accordance with third party requirements.
• Services accounts in priority of importance, independently bills accounts with understanding of all applicable insurance and CMS regulations.
• Prioritizes work to maximize turn around time.
• Performs miscellaneous job related duties as requested.

Qualifications

• High school diploma or GED (Required)
• One (1) year of experience in a hospital, clinic, or similar medical office setting working with or responsible for billing AHCCCS, HMO's, other third party payors and self pay using a centralized computer-based patient admission or billing system (Required)
• One (1) year of experience in electronic billing (Required)
• Experience with AMPFM or SCM platform, medical terminology and HIPAA privacy laws (Preferred)
• Ability to follow any payer or governmental requirement as required by the organization (Required)

Physical Requirements

• Fine Motor Skills (pinching, gripping, etc) - Occasionally
• Hearing - Constantly
• Reaching - Occasionally
• Sitting - Constantly
• Standing - Occasionally
• Talking - Constantly
• Walking - Occasionally
• Near Vision - Constantly
• Use of keyboard, mouse and/or computer equipment - Constantly
• Inside office environment - Applicable