Billing Specialist Phoenix AZ

The East Boston Neighborhood Health Center (EBNHC) has been a vital part of the community for more than 45 years. From the beginning, our services and development have been defined by the needs of East Boston and the communities we serve. Under the general direction of the patient financial services leadership team, the Billing Specialist is responsible for researching and resolving pre-processing errors and edits to ensure that claims are filed timely. For the accurate and timely processing of claim appeals to comply with the various payor requirements and maintain a low backlog of work. The billing specialist I works as part of a team that is committed to EBNHC's mission and recognizes that this work has a direct impact on the meeting sustainable financial levels for the organization. Essential Duties & Responsibilities • Helps ensure the accuracy and completeness of claims submitted to payors and bills submitted to patients. • Maintains backlog of work that is consistent with levels established by PFS leadership team, including use of EPIC work queues. • Maintains knowledge of medical and dental codes consistent with third party payor requirements. Reviews remittance advices to identify trends in payment delays or denials. • Communicates with leadership and team members about work flow status and helps ensure that deadlines are being met. Reads and understands assigned third party payor reimbursement regulations and updates. • Generates and submits insurance billing claims based on payor preference as required. • Analyzes payment denials for possible re-submission of unpaid claims. • Work along EBNHC PFS Leadership with various payors being part of the contact group responsible for updates and information required to assist others in the organization. Qualifications & Requirements: • High School/GED Required. • Up to one year experience working in a medical billing/insurance office. • Working knowledge of insurance rules and regulations. • Strong organizational skills and effective interpersonal skills. • Proficiency in PC software (i.e. database). • Knowledge of medical terminology, CPT-4 and ICD-9/10 coding preferred. • Ability to solve problems effectively. • Pays close attention to detail. • Demonstrates computer literacy, organization, and a professional attitude. Visit our careers page at careers.ebnhc.org https://ebnhc.wd1.myworkdayjobs.com/EBNHC/job/East-Boston/Billing-Specialist-I_R0001361

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