Billing Representative-Medical

American Medical Solutions - Phoenix, AZ (30+ days ago)


As a Medical Billing Representative, you perform end-to-end revenue cycle management activities for outpatient medical groups that outsource their medical billing functions to AMS.

What we are looking for:

Experienced and versatile medical billing specialist who thrive on challenge and getting claims paid. Pays close attention to details, be phone-savvy and have great interpersonal and customer service skills so that you can resolve patient billing calls and issues.

Job Duties

  • Full cycle billing functions for outpatient medical groups nationwide.
  • Collecting, posting, and managing account payments.
  • Preparing and submitting clearinghouse claims to payers via paper and electronic submission.
  • Reviewing claims denials and correspondence from commercial carriers to aggressively to resolve claims denials, while communicating issues to customer.
  • Performing claim corrections and follow up activities to ensure timely reimbursement for the customer.
  • Monitoring and follow up of "red flag" claim edits to minimize claim rejections.
  • Using extraordinary customer services skills to take patient phone calls regarding billing issues.
  • Performing daily EDI checks, posting payments and balancing deposit sheets.
  • Communicating via email and phone with customers and insurance companies.
  • Aggressively following up on denied and rejected claims
  • Medical Collections - Handling collection of past due amounts by following up with insurance companies on aging claims by calling Medicare, Medicaid and other major third-party insurance companies to resolve non-payment issues.
  • Patient billing and A/R account management.

Qualifications:

  • High school diploma (minimum).
  • A medical billing/coding program graduate or 2 years Medical billing experience (preferred).
  • Strong understanding and commitment to protection of HIPAA and PHI (personal health information).
  • Self-motivated to work independently to learn new technologies.
  • Excellent time management and prioritization skills required.
  • Flexibility and reliability. AMS customers rely on us to ensure steady cash flow and can make adjustments as priorities change.
  • Superior customer service skills, and attention to details, self-confident, professional, patient demeanor with every internal and customer interaction.
  • A positive, open, and friendly attitude to colleagues and customers.

Job Type: Full-time

Experience:

  • Billing: 1 year
  • Medical billing: 2 years

Location:

  • Phoenix, AZ 85027