Senior Biller

HonorHealth•Virtual - Arizona, AZ

1d•Remote

About The Position

The Senior Biller works under the direction of the Billing Supervisor and bills and files claims using UB and 1500 forms. The role includes verifying Medicare beneficiary names through DDE, identifying recurring billing errors and recommending solutions, adjusting claims, and performing commercial and Medicare billing and research within established timeframes and benchmarks. The Senior Biller provides customer service to patients, government agencies, commercial insurers, hospital departments, physician offices, and outside vendors. This is a remote position for someone residing in the greater Phoenix metro area, with the ability to come into the office when necessary. The schedule is Monday through Friday, with working hours that may be scheduled anytime between 6:00 a.m. and 5:00 p.m. Strong hospital billing experience in a medium to large healthcare system is required; EPIC experience is preferred.

Requirements

High school diploma or GED.
At least 2 years of Medicare or commercial physician billing experience with reimbursement or revenue cycle/claims processing, or 2 years of patient accounts experience, or 3 years of physician billing experience.
Strong hospital billing experience from a medium to large healthcare system.
Must reside in the greater Phoenix metro area.
Must be able to come into the office when necessary.
Other: CCS Coursework.

Nice To Haves

Associate degree in Business Administration or Finance.
Completion of advanced medical billing certification within two years of hire.
At least 3 years of Medicare or commercial facility billing experience.
EPIC experience.

Responsibilities

Submit electronic and paper claims, monthly patient statements, and corrected claims daily.
Provide physician practice staff with daily feedback on data and demographic corrections.
Coordinate with practice managers and PBS staff to maintain daily benchmarks for accounts receivable collections, closed claims, clean first-pass claims, and bad-debt rates.
Update spreadsheets with daily statistics.
Process daily Gateway EDI requests and receipts, reconciling them to patient accounting system submissions and following regulatory timelines for submission and reprocessing.
Submit and receive 837 files from outside vendors.
Manage payer file maintenance and notify physician groups of relevant updates and changes.
Work with the team to develop, implement, and improve internal controls that support sound billing practices.
Bill and file claims using UB and 1500 forms.
Verify Medicare beneficiary names through DDE, identify recurring billing errors, recommend solutions, and adjust claims as necessary.
Perform commercial and Medicare billing and research within established timeframes and benchmarks.
Provide customer service to patients, government agencies, commercial insurers, hospital departments, physician offices, and outside vendors.