Job Information
Robert Half Medical Billing Specialist in Phoenix, Arizona
Description
We are offering a contract to hire role for a Medical Billing Specialist position in Phoenix, Arizona. The role involves significant interaction with billing systems and requires an individual with a strong understanding of accounts receivable and billing functions. The successful candidate will be working in the healthcare industry, specifically in an outpatient behavioral clinic setting.
Responsibilities:
Ensures proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement, including projects, problem and issues escalation, and research
Analyzes billing and claims for accuracy and completion; submits claims to proper insurance entities and follows up on any issues
Collaborates with other staff/departments to obtain and analyze additional member information to document and process billing in alignment with department policies and protocols
Analyzes trends impacting charges, coding, collection, and accounts receivable and takes appropriate action to realign staff and revise policies and procedures
Stays current with carrier rule changes and distributes the information within the department
Maintains a working knowledge of all health information management issues such as HIPAA and any/all health regulations
Monitors health plan response files to ensure appropriate action is occurring, including timely posting of files to the system
Ensures accurate reimbursement is being received for services rendered
Ensures accurate and timely posting of all remits and identifies payer trends and concerns
Analyzes system data and reports, making recommendations to improve processes as needed
Remains up to date with current coding and billing regulations and compliance requirements
Requirements
• Familiarity with Dynamic Data Exchange (DDE) is needed.
• Proficiency in using the EHR System is a must.
• Strong knowledge of Accounts Receivable (AR) procedures is required.
• Expertise in handling Appeals processes is crucial.
• Understanding of Benefit Functions is necessary.
• Experience in Billing Functions is essential.
• Knowledge of Claim Administration procedures is needed.
• Ability to understand and interpret EOB - Explanation of Benefits is crucial.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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