Performs self-pay collections, third-party billing and collections, customer service support, and payment posting functions for patient accounts.
This role is responsible for reviewing complex billing and collection activities, resolving payer and patient issues, ensuring accurate and timely claim/payment processing, and supporting patients with payment arrangements and financial assistance.
Key responsibilities include:
- Maintaining or reducing accounts receivable days and supporting organizational cash flow
- Billing UB04 and HCFA 1500 claims and self-pay accounts accurately and on time
- Researching correspondence, inquiries, disputes, and billing audits
- Working with internal teams, physicians, vendors, and third-party payers to resolve account issues
- Evaluating patient accounts for write-offs, bad debt, charity, and contractual adjustments
- Supporting high-volume customer service inquiries and MyChart access assistance
- Posting electronic and manual payments, resolving unidentified cash, and retrieving EOBs
- Communicating with insurance companies, AHCCCS/Medicaid, and vendors regarding outstanding payments
Requirements & Qualifications
Minimum qualifications
- High school diploma or GED required
- At least 1 year of related experience in medical billing, third-party collections, or customer service in a hospital, payer, or physician setting
- Technical experience with CMS/Medicaid regulations and/or commercial payer billing requirements
- At least 1 year of experience in a Windows environment, including Excel
- No licensure or certification required
Knowledge, skills, and abilities
- Knowledge of medical insurance practices, policies, and regulations
- Knowledge of HMO, PPO, and indemnity third-party billing guidelines
- Knowledge of UB04 hospital or CMS physician billing forms
- Knowledge of government and non-government uniform billing guidelines
- Knowledge of medical terminology and coding related to billing, including revenue codes, CPT diagnosis codes, modifiers, occurrence codes, and value codes
- Ability to evaluate bills and claims for timely payment collection
- Strong communication, analytical, and critical thinking skills
- Ability to read and interpret documents, payer explanation of benefits, and governmental regulations
- Ability to work in a team environment and provide assistance or training to other staff
- Ability to use Excel, Word, email, internet, and networked computer systems
Location
Tucson, Arizona, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago