Medical Biller 1

Community Medical Services•Scottsdale, AZ

2d•Hybrid

About The Position

Community Medical Services (CMS) is hiring a Medical Biller 1 for submission of electronic claims and follow up on unpaid claims. This role will also be responsible for data entry and client demographics verification along with posting of insurance and patient payments. In addition, this role will manage denials and claims resubmission and have regular communication with insurance companies. As part of our mission to help individuals recover from substance use disorders, you’ll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.

Requirements

3-5 years experience as a medical biller.
HS Diploma or GED.
Basic knowledge of CPT/ICD10 coding, insurance cards, and medical benefits.
Patient statements and Superbill Request.
Manual Billing for Grant Payers.
Ability to bulk process AR.
Experienced with using Microsoft Windows, Outlook, Work, Excel.
Posting denials and or writeoff’s timely with the appropriate reason codes.
Meeting with insurance companies on claim trends and escalations.
Ability to work in a fast-paced team environment while exhibiting strong interpersonal skills.

Responsibilities

Submission of electronic claims and follow up on unpaid claims.
Data entry and client demographics verification.
Posting of insurance and patient payments.
Manage denials and claims resubmission.
Regular communication with insurance companies.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Submit appeals to insurance companies.
Run and utilize weekly aging AR reports to follow up on outstanding claims.