Medical Insurance Billing & Cash Posting

Agave Ridge Behavioral Health Hospital•Mesa, AZ

1d•Onsite

About The Position

The Billing and Payment Specialist is responsible for expedient and accurate billing for treatment services and posting payments received for a group of facilities. This is an onsite, full-time position with a Monday–Friday schedule. The role handles patient claims billing, claim corrections and resubmissions, billing-cycle updates, daily billing reports, rejection lists, and posting insurance and patient payments and adjustments. It also involves reviewing explanations of benefits, supporting account adjustments, prorating patient accounts, maintaining a daily cash log, and using system data to take timely steps toward payment.

Requirements

High school diploma or equivalent.
Five years of job-related experience; healthcare experience is preferred.
Advanced computer skills, including Microsoft Office, especially Word, Excel, and PowerPoint.
Knowledge of office administration procedures and ability to operate most standard office equipment.
Ability to handle sensitive, proprietary data and information professionally while maintaining confidentiality.
Excellent interpersonal skills and ability to interact effectively and professionally with individuals at all levels, internally and externally.
Sound judgment when responding to inquiries and understanding of when to route inquiries to the next level.
Self-motivation, strong organizational skills, and superior attention to detail.
Ability to manage multiple tasks or projects simultaneously within inflexible time frames and adapt to frequent priority changes.
Ability to work within established organizational policies, procedures, and practices.
English proficiency sufficient to provide and receive instructions and directions.

Nice To Haves

Healthcare experience.

Responsibilities

Bill all patient claims in a timely manner.
Review claim issues, make corrections, and rebill; use the claims clearing house to review and correct claims and resubmit them electronically when available.
Evaluate billing cycles and change or update them when necessary.
Print daily billing reports for electronic and paper claims and monitor the validation percentage.
Work daily claims rejection lists.
Post insurance and patient payments, contractuals, and other adjustments.
Review explanations of benefits to determine whether claims were processed and paid correctly; provide detailed information to the collector for follow-up when processing is incorrect.
Complete adjustment forms and attach supporting documentation when account adjustments are needed.
Prorate patient accounts and monitor that the balance due is assigned to the correct financial class.
Maintain a daily cash log and note any variances.
Gather and interpret system data, determine an appropriate course of action, and initiate time-sensitive and strategic steps to obtain payment.
Comply with organizational policies, procedures, performance improvement initiatives, and confidentiality requirements.
Communicate clearly and effectively with people receiving services, their family members, guests, and other members of the health care team.
Develop and maintain constructive, cooperative working relationships and encourage mutual trust, respect, and cooperation among team members.
Maintain regular and predictable attendance.