Medical Billing Specialist

Billing Specialist – Medical / Healthcare

Become part of Arizona Community Physicians (ACP), Arizona’s largest and most successful physician-owned medical group. Our Billing Department is currently seeking qualified candidates to join our collaborative team which has over thirty team members. We currently have a full-time position available. This position offices in central Tucson at our Central Services Business Office where employees enjoy a casual and professional work environment.

Summary

Responsible for the integrity, accuracy, and timeliness of the patient billing and accounting. Regularly communicates with patients, third-party payers and employees with the expectation to provide outstanding customer service including timely follow-up and resolution of issues.

Responsibilities include but are not limited to :

• Understand and maintain current knowledge of third-party billing, documentation guidelines, reimbursement and contract administration.
• Understand billing transactions, workflows, and Explanation of Benefits (EOB’s) to include denials, pending, paid, adjusted and refunded billing / account status and related processes.
• Understand technical workflows and processes in company information systems including Epic.
• Verify the integrity of all claims as needed to maintain the quality and accuracy of claims.
• Collect and review all patient insurance information needed to complete the billing process.
• Complete all necessary insurance forms (i.e. HCFA 1500) to process the proper billing information in a timely manner as required by all third-party payers.
• Audit, correct and submit insurance claims in a timely manner. Claims should be checked, corrected and submitted within 24 hours of printing.
• Ensure the integrity and timeliness of workflow by making sure claims are mailed out promptly and submitted with accurate information.
• Submit all paper claims and supporting documentation as required by payers.
• Report any problem, concerns, trends or issues with Supervisor by monitoring the integrity of claims.
• Keep others in Business Office informed of third-party billing updates, documentation guidelines, and reimbursement and contract administration.
• Serve as a liaison with payers and patients by being available to answer questions, handle situations as they occur; meet with insurance reps regularly.
• Provide the high-level customer service to patients and other staff by following through on phone calls, site questions / concerns and account inquiry concerns.
• Resolve patient complaints and requests regarding insurance billing and initiate accurate account adjustments.
• Follow all billing problems to conclusion.
• Attend and participate in required meetings as requested.
• Share knowledge and serve as a resource to co-workers as possible.

Qualifications