Senior Biller

Primary City/State: Virtual Arizona

Category: Billing and Revenue Cycle

Shift: Day

Department:

Patient Financial Services



Must have strong hospital billing experience from a medium to large healthcare system. Prefer EPIC experience. This is a remote position but must be able to come into the office when necessary.

M-F, and work schedule can be anytime between 6:00am - 5:00pm.

**Must reside in the greater Phoenix metro area**




Great care starts with great people. (Like you.)

At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:




JOB SUMMARY

Under the direction of the Billing Supervisor, bills and files all claims on both UBs and 1500 forms. References DDE for verification of beneficiary's name for Medicare claims. Identifies and communicates reoccurring billing errors to Billing Supervisor and recommends solutions or resolutions. Adjusts claims as necessary. Performs Commercial and Medicare billing and research within timeframe and benchmark expectations set by PBS Management. Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, Hospital departments, physicians' offices and outside vendors.

ESSENTIAL FUNCTIONS

• On a daily basis submit electronic & paper claims, monthly patient statements and correct claims. On a daily basis provide feedback to physician practice staff on data & demographic corrections.
• Coordinate with practice managers and PBS staff to maintain expected daily submission benchmarks for AR collections, closed claims, clean (first pass rate 90%) and bad debt rates. Update spreadsheet with daily statistics.
• Process daily Gateway EDI requests and receipts to reconcile to patient accounting system submissions and adheres to regulatory guidelines for timely submission and reprocessing.
• Submit and receive 837 files from outside vendors.
• Manage payer file maintenance notify physician groups of updates and changes specific to
• Assist as a team member in the development, implementation and improvement of internal controls needed to assure and maintain sound billing practices.

EDUCATION

• High School Diploma or GED Required
• Associates in Business Administration, Finance Preferred or
• Other / Certificate Complete advanced medical billing certification within two years of hire date Preferred

EXPERIENCE

• Other Medicare or Commercial – Physician Billing and 2 years experience with reimbursement or revenue cycle/claims processing Required
• 2 years patient accounts experience Required or
• 3 years physician billing Required
• 3 years Medicare or Commercial - Facility Billing experience Preferred

LICENSES AND CERTIFICATIONS

• Other CCS Coursework




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