We are currently looking for Medical Billing/Surgery Scheduling Specialist to join a new practice in the Valley. We specialize in urology and are looking for an experienced full cycle revenue management team member with experience in surgery scheduling and authorizations.
POSITION RESPONSIBILITIES:
- Oversee and ensure all codes for diagnoses and procedures are entered correctly and timely, using up to date CPT and diagnoses codes for office visits and procedures
- Review all billing data received from Providers daily, including accuracy and verification of coding
- Review patient charts and clinic schedule to ensure all charges across all places of services are entered
- Complete Coding Reconciliation within 24 hours of the service being completed
- Ensure codes are accurate and correct in accordance with all governmental and insurance regulations
- Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
- Analyze medical records and identify documentation deficiencies
- Communicate with insurance carriers on all accounts past 30 days for follow-up on denials, incorrect payments or past due accounts
- Submit all electronic claims to insurance carriers via clearing house and manage rejection reports then resubmitting
- Schedule and coordinate all patient surgeries, including vendors and hospitals or outside facilities
- Verify all patient demographic information and insurances for both In and Out of Network benefits
- Obtain authorizations for all surgeries, outside imaging, and DME according to insurance guidelines. Document authorization statuses in the patient chart
- Determining patient financial responsibility for procedures
- Notifying patients prior procedure date of their out-of-pocket costs
ESSENTIAL SKILLS AND EXPERIENCE:
- Medical billing/coding certificate or 5+ years’ experience in the medical billing field and management
- Excellent attendance and punctuality
- Knowledge of medical terminology
- Possess strong interpersonal skills; phone etiquette; and a professional and courteous manner
- Must demonstrate excellent judgment, communication and analytical skills; including under pressure
- Ability to multi-task and perform multiple priorities
- Must possess decision making ability and problem-solving skills
- Requires the ability to work within a team environment as well as independently
- Computer Knowledge required. Working knowledge of Microsoft Office, Excel and EMR’s a plus
- Associate degree - preferred but not required
Job Type: Full-time
Pay: From $22.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid sick time
- Paid time off
- Vision insurance
Healthcare setting:
Medical specialties:
Schedule:
- 8 hour shift
- Monday to Friday
- No weekends
Application Question(s):
- What is your ideal compensation
Education:
- High school or equivalent (Preferred)
Experience:
- Medical billing: 5 years (Preferred)
- Medical terminology: 5 years (Preferred)
- Surgery scheduling and authorizations: 2 years (Preferred)
Ability to Relocate:
- Phoenix, AZ: Relocate before starting work (Required)
Work Location: In person