- Sets up account records, compute accounts receivables, record payments, process accounts payables, reconcile ledger accounts, and prepare related reports.
- Process, review, and route a variety of financial forms, reports, verifications, third-party billings, verification of insurance plans, patient eligibility, and other documents.
- Provide complex, specialized billing support for the Health Department by responding to general billing inquiries, conduct research, prepare and send billing collection notices, maintain and update departmental files, data and/or other related documents.
- Assist supervisor by reviewing invoices and documents for compliance with operational procedures; ensure accuracy and completeness.
- Provide customer service to employees and public; answer questions, review forms, and refer issues to appropriate personnel when needed.
- Prepare fiscal related reports as needed for assigned area; research and verify accuracy of necessary data.
- Maintain the department billing files and related operational information.
- Perform other duties of a similar nature or level as requested by supervisor or director.
- Medical and/or behavioral health terminology;
- AHCCCS and Yoeme Health Plan eligibility requirements and billing guidelines;
- Basic accounting and office support practices;
- Clerical and office support practices;
- Manual and/or electronic systems for processing third party insurance billing;
- Health department operations and functions;
- Customer service principles;
- Recordkeeping principles;
- Mathematical concepts;
- English language, grammar, and punctuation;
- Report preparation techniques;
- HIPAA and confidentiality policies;
- Federal, State and Tribal regulations and policies for insurance claim processing;
- Yaqui culture, customs, resources and traditions and/or a willingness to learn.
- Apply accounting principles and practices;
- Maintain files and records;
- Apply and explain applicable laws, codes, regulations, policies, and/or procedures;
- Compile and maintain statistical data for billing & collections;
- Prepare reports on outstanding receivables for management review;
- Use proper English, grammar, punctuation, and spelling;
- Providing customer service;
- Operate a variety of office equipment, including a computer and related software applications;
- Good communication and interpersonal skills as applied to interaction with co-workers, supervisor, management, Council members, and the public. Have ability to sufficiently exchange or convey information and receive verbal and written work instructions.
- Must be proficient with Excel;
- Must possess and maintain a valid Arizona Driver's License;
- Must have a current Level 1 Arizona Clearance Card. Failure to maintain a current Level 1 Clearance Card will result in termination from this position.
- No
- Yes
- Yes
- No
- No
- Yes
- Yes
- No
- Yes
- No
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Third-Party Billing Specialist - Tucson, United States - Pascua Yaqui Tribe, AZ
Description
Salary : $35,838.40 AnnuallyLocation : Tucson, AZ
Job Type: Full-Time
Job Number:
Department: HEALTH ADMINISTRATION
Division: THIRD PARTY BILLING
Opening Date: 05/07/2024
Closing Date: 5/21/2024 11:59 PM Arizona
Job Summary
The Third-Party Billing Specialist, under supervision, verifies billing invoices and documents receipt of co-payments from patients, AHCCCS reimbursements, and third-party payments from outside insurance carriers. This position post payments and reconciles vendor accounts. The incumbent will use an electronic tracking system, requiring input of outstanding invoice and receipt of payments. This position contacts vendors about outstanding medical accounts, addresses invoice disputes and assists with the resolution of complex billing issues.
Principle Duties and Responsibilities
Knowledge of:
High School Diploma or GED plus two (2) years billing work experience; and experience sufficient to successfully perform the essential duties of the job such as those listed above.
Special Requirements
01
Do you have a High School Diploma or G.E.D?
Do you have 2 years experience working in Billing?
Are you proficient in Microsoft Word, Excel, Outlook and PowerPoint?
Do you have a current Arizona Driver's license?
Do you have a current Level 1 Arizona Clearance Card?
