Medical Billing - Mesa, United States - Zarephath Community Services

Zarephath Community Services

Verified Company

Mesa, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary
Fulltime position, in office, responsible for accurate and timely electronic billing of Behavioral Health claims from various health plans/payor. Responsible for the daily operations, accuracy and efficiency of the Billing Department. Develops policies and procedures related to claims processing and cash receivables. Identify and institute plans to correct problems to ensure accuracy and maximum efficiency.

Ensures all claims are billed and outstanding claims are followed up on in a timely and efficient manner to receive payment.

Establishes claim processing standards to ensure compliance with contract and industry standards. Conducts regular audits to ensure contract standards are being met. Development of relationship with contractors to work through system and claim issues. Review service codes and billing requirements assuring clean claim submission and contract standards are met. Ensure implemented timelines are followed for billing submission and monthly reports. Supervise all aspects of electronic HCFA p claim billing and receivables with a variety of payers.

Job Requirements

High school diploma or GED required
Possess valid state identification
Must obtain and/or possess a Fingerprint Clearance Card
2+ years' experience following up on claim status, resolving denials & rejections, rebillings, resubmitting claims, & filing appeals.
Requires knowledge of healthcare billing practices including CPT, ICD10 and state AHCCCS coding using HCFA p requirements.

Note:
This job description outlines the primary responsibilities and qualifications for the position of Billing Specialist. However, additional tasks may be assigned based on office needs to ensure the smooth operation of the organization.

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