Full Cycle Biller-PI/WC

Advanced Spine and Pain•Phoenix, AZ

2d•Onsite

About The Position

Full Cycle Biller supports the Personal Injury/Workman’s Compensation department by assisting with managing incoming and outgoing charges and payments while verifying and ensuring accuracy and completeness for a complete billing cycle.

Requirements

High School Diploma / GED
Knowledge of CPT, HCPCS, ICD.10 and the ability to follow coding guidelines.
Knowledge of Medical Terminology
Billing Experience or Medical Office Experience
Strong office and computer skills, experience with paperless workflows
Prior use of practice management and EMR programs
Basic understanding of Microsoft Office to include Outlook, MS Word, and Excel.
Understanding of insurance benefits, adjustments, reviews, authorizations.
Displays strong organizational skills with the ability to prioritize, multi-task, detail oriented
Skilled communicator and ability to work effectively in resolving problems
Solid organizational skills
Exceptional attention to detail.
Work independently while maintaining a positive attitude
Ability to understand insurance payer guidelines.
Ability to prioritize and solve problems in a timely manner.
Ability to communicate effectively and professionally with insurance carriers and outside entities.
Ability to interact with management, physicians, and teammates at all levels and effectively.
Ability to communicate with teammates and management both in oral and written form.
Ability to be able to meet deadlines in a fast-paced, quickly changing environment.
Ability to act as gatekeeper and escalate relevant information to executives as needed.
Ability to treat confidential information with appropriate discretion.
Good visual acuity, accurate color vision.
Requires sitting and standing associated with a normal office environment.

Nice To Haves

Certified from college or Technical School preferred or Enrolled in a Billing or Coding Program
Two years of experience in lieu of education considered
Next Gen Office (NGO) and Advanced MD experience preferred
Experience in Pain Management and Anesthesia preferred

Responsibilities

Maintains timely, accurate, and professional communication with attorney offices regarding patient claims, medical records, liens, settlement updates, and outstanding balances.
Ensures all correspondence is documented, follows legal and organizational standards, and supports efficient resolution of Workers’ Compensation and Personal Injury accounts.
Accurately posts payments, adjustments, and denials from insurance carriers, attorney disbursements, and third‑party payers.
Reconciles posted amounts against explanation of benefits (EOBs), settlement statements, and internal records to ensure account accuracy.
Identifies discrepancies, initiates corrections, and supports clean financial reporting.
Demonstrates the ability to understand the use of ICD.10, CPT, & HCPCS coding 70% principals as well as payer guidelines.
Assisting with managing incoming and outgoing charges and payment with accuracy.
Assisting with Accounts Receivable and Patient Account review and reconciliation, as well as speaking to patients in a timely and professional manner.
Identifies and reports issues or errors, such as incomplete or missing records and 15% documentation, ambiguous or non-specific documentation, or codes that do not conform to approved coding guidelines, or account reconciliation while utilizing professional communication and documentation skills.
Demonstrates the ability to self-report daily tasks and assignments as well as identify any 5% billing trends that affect daily productivity.
Assist with claim rejections and account denials.
Other duties as assigned.