Senior Biller

Location: Virtual Arizona. 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, work schedule can be anytime between 6:00am - 5:00pm. Must reside in the greater Phoenix metro area. 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.

Responsibilities

Bills and files all claims on 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; Submits electronic and paper claims, monthly patient statements and correct claims daily; Provides feedback to physician practice staff on data and demographic corrections; Coordinates with practice managers and PBS staff to maintain submission benchmarks for AR collections, closed claims, clean claims (first pass rate 90%) and bad debt rates; Updates spreadsheet with daily statistics; Processes daily Gateway EDI requests and receipts to reconcile to patient accounting system submissions; Submits and receives 837 files from outside vendors; Manages payer file maintenance and notifies physician groups of updates and changes; Assists in development, implementation and improvement of internal controls to maintain sound billing practices

Requirements

Strong hospital billing experience from a medium to large healthcare system; Must reside in the greater Phoenix metro area; High School Diploma or GED; Medicare or Commercial Physician Billing and 2 years experience with reimbursement or revenue cycle/claims processing, or 2 years patient accounts experience, or 3 years physician billing

Nice to have

EPIC experience; Associates in Business Administration or Finance; Advanced medical billing certification within two years of hire date; 3 years Medicare or Commercial Facility Billing experience; CCS coursework