Sr Medical Biller

Community Medical Services•Scottsdale, AZ

About The Position

Community Medical Services (CMS) is hiring a Senior Medical Biller. This role will be responsible for reengineering claim submission work processes, analyzing and reporting the impact of existing AR work processes. The ideal candidate will have experience with Medicaid, Medicare, Veteran Affairs and commercial lines of business. In addition, will be responsible for training on onboarding staff. The candidate will also be responsible for managing high volume insurance plans or nation contract payers. This role will monitor claim volume and payments for assigned payers to maintain accuracy. 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

Experience with Medicaid, Medicare, Veterans Affairs and Commercial line of business.
COB Processing.
Training and onboarding staff.
Reengineering claim submission work processes.
Analyzing and reporting the impact of existing AR work processes.
Managing high volume insurance plans or national contract payers.
Remit and Payment Reconciliation.
Monitor claim volume and payments for assigned payers to maintain accuracy.
Assist with developing new processing steps for managing AR.
Other duties as deemed necessary to include finance responsibilities.
Writing work instructions and job aid for Billing processes.
Remains current on billing and coding procedures and changes.
Excellent Communication Skills.
Working with cross functional Community Medical Services Teams, like Clinical Operations, Quality Management, Enrollment and Credentialing.
Problem Solver, using Data Driven Decision making.
Detail orientation with the ability to handle multiple assignments promptly and effectively.
Experienced with using Microsoft Windows, Outlook, Work, Excel.
Working Knowledge of Microsoft Access & SQL.

Responsibilities

Experience with Medicaid, Medicare, Veterans Affairs and Commercial line of business.
COB Processing.
Training and onboarding staff.
Reengineering claim submission work processes.
Analyzing and reporting the impact of existing AR work processes.
Managing high volume insurance plans or national contract payers.
Remit and Payment Reconciliation.
Monitor claim volume and payments for assigned payers to maintain accuracy.
Assist with developing new processing steps for managing AR.
Other duties as deemed necessary to include finance responsibilities.
Writing work instructions and job aid for Billing processes.
Remains current on billing and coding procedures and changes.
Excellent Communication Skills.
Working with cross functional Community Medical Services Teams, like Clinical Operations, Quality Management, Enrollment and Credentialing.
Problem Solver, using Data Driven Decision making.
Detail orientation with the ability to handle multiple assignments promptly and effectively.
Experienced with using Microsoft Windows, Outlook, Work, Excel.
Working Knowledge of Microsoft Access & SQL.