Benefits:

401(k)

Company parties

Competitive salary

Dental insurance

Free uniforms

Health insurance

Paid time off

Vision insurance

We would like to hire a long-term employee to join our amazing family-oriented team! We are a pediatric practice located in South-Central Phoenix.

Duties include, but are not limited to:

Oversee daily processing and submission of claims from practice management (PM) system to the clearinghouse and third-party payors.

Knowledge of EMRs (ours is EClinical Works)

Continuously working the A/R and denials to prevent losses from timely filing and research denials to keep us informed accordingly.

Proactively monitor for errors and issues and promptly resolve them to ensure payments are processed as not to exceed the timely filing rules.

Resolve edits related to coding; obtain and review relevant documentation and ensure documentation supports services billed.

Oversee the insurance correspondences, such Explanation of Benefits (EOB) and Coordination of benefits and researches appropriate claims steps, such as first or second appeal.

Communicates with insurance carriers to track and check status of appeals.

Work with insurance payors to ensure timely and accurate payments.

Troubleshoot patient account issues, including direct resolution of billing issue with patients.

Ensure accurate patient statements are sent out monthly along with analyzing patients accounts and recommend to collections accordingly.

Ensure credentialing and privileging is accurately maintained with all payors and facilities, including the re-credentialing cycle.

Following up on unpaid claims within standard billing cycle timeframe

Reading and understanding of emails from supervisors and following policies and directions

Clerical work and customer service support

Perform other duties as may be assigned.

This position is a Full time. Punctuality and forward thinking are a must.

Job Type: Full-time

Experience:

Pediatric: 1 year (Preferred)

Medical Billing: 1 year (Required)

EClinical Works (Preferred but not required)

Bilingual (Preferred but not required)