Terros Health

  • Medical Billing Specialist

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2885
    # of Openings
    1
    Category
    Accounting/Finance
    Program
    Finance
    Weekly Hours
    40
  • Overview

    Terros Health is pleased to share an exciting and challenging opportunity for a Billing Specialist.  Reporting to the Director of Billing, the ideal individual will possess at least three years medical billing experience, have great attention to detail, and produce high quality work. The successful candidate will be responsible for key aspects of the medical billing process. If you’re a proven performer on the job, with a high level of integrity this may be just the opportunity you’ve been seeking.

     

    Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. For more than four decades, the heart of everything we do is inspiring change for life. We help people manage addiction and mental illness, provide primary medical care, restore families, support our veterans, and connect individuals to the care they need.

     

    If you are interested in working for one of the State's Leading Healthcare Organizations that promotes IntegrityCompassion, and Empowerment, we encourage you to apply!  

    Responsibilities

    • Responsible for timely processing and billing of scheduled services, and electronic records into submission of clean claims.
    • Timely and accurate electronic & hardcopy submission of HCFA1500 and UB92 claims.
    • Monitors, researches, and validates event data prior to billing.
    • Timely and accurate loading of Explanation of Benefits and related reports.
    • Responsible for accurately and timely cash application of EOB's and claim response reports.
    • Responsible for thorough understanding of RBHA, Medicare and other payer billing requirements and procedures.
    • Responsible for accurate record keeping of claims billing.
    • Timely and accurate research and resubmission of denied claims.
    • Assists in maintaining claim billing procedure manuals.
    • Works closely with supervisor in establishing timelines for billing and identifying/resolving problems with claims billing.
    • Keeps supervisor informed of weekly production of claims and any problems with claims billing
    • Responsible for claims billing to third party insurance, denial research and resubmissions to TPL Other duties and special projects as assigned.

    Qualifications

    • Requires knowledge of healthcare billing practices including CPT4, ICD-9, and State AHCCCS codes using HCFA1500 and UB04 requirements.
    • Must have experience with automated billing systems and contractual reimbursement arrangements.
    • Ability to be multi-task orientated.
    • Excellent communication, problem solving, conflict resolution, and organizational skills.
    • Associates degree preferred.
    • Minimum 3 years medical billing experience, which includes at least 2 years of electronic claims submission.
    • Experience with a variety of contractual reimbursement arrangements.
    • Medical and Billing Certification preferred.

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