Senior Medical Billing & Denial Management Specialist
nobilityChandler (AZ)
Senior Medical Billing & Denial Management Specialist
Posted 5 days ago
nobilityChandler (AZ)
SENIORITY
Senior
About the role
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)
Minimum 4 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
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