Medical Billing Specialist

Job Description Job DescriptionBilling Specialist – Medical / HealthcareBecome 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.SummaryResponsible 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

• Minimum high school diploma or GED credential (a high school equivalency diploma)
• Minimum one year experience in billing, collections and / or reimbursement.
• Prefer experience working with the public providing customer service.
• Communication and people-relationship skills to work with a diverse range of people.
• Computer proficiency and ability to quickly learn new applications.
• Proficient in typing and good spelling, punctuation, grammar and oral communication.
• Skills in organization, prioritization, and multi-tasking.
• Professional demeanor and recognition of privacy considerations for patients and families.
• Must be able to act calmly and effectively in a busy or stressful situation.
• Must be able to establish and maintain effective working relationships with co-workers and other staff.