Billing Specialist
Role Overview
This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.
Full Job Posting
Position Summary
This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.
Position Duties
- Bills both electronically and manually, as needed, and uses all technology available to produce clean claims.
- Interprets claims processing reports and applies information to produce clean claims.
- Maintains current knowledge of regulatory billing requirements.
- Makes changes to demographic information as necessary in order to produce a clean claim.
- Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
- Analyzes coding to assure proper billing of claims.
- Participates in a variety of hospital educational programs to maintain current skill and competency levels.
- Requests and attaches required clinical documentation in accordance with third party requirements.
- Services accounts in priority of importance, independently bills accounts with understanding of all applicable insurance and CMS regulations. Prioritizes work to maximize turn around time.
- Performs miscellaneous job related duties as requested.
Mission
To advance hope, healing and the best healthcare for children and their families
Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.
We realize this vision by:
Offering the most comprehensive care across ages, communities and specialties
Investing in innovative research, including emerging treatments, tools and technologies
Advancing education and training to shape the next generation of clinical leaders
Advocating for the health and well-being of children and families
We place children and families at the center of all we do
We deliver exceptional care, every day and in every way
We collaborate with colleagues, partners and communities to amplify our impact
We set the standards of pediatric healthcare today, and innovate for the future
We are accountable for making the highest quality care accessible and affordable
Education
1.
High school diploma or GED Required
Experience
One (1) year of experience in a hospital, clinic, or similar medical office setting working with or responsible for billing AHCCCS, HMO’s, other third party payors and self pay using a centralized computer-based patient admission or billing system. Required
2.
One (1) year of experience in electronic billing. Required
3.
Experience with AMPFM or SCM platform, medical terminology and HIPAA privacy laws. Preferred
Special Skills
- 1.
- Follow any payer or governmental requirement as required by the organization. Required
Physical Requirements & Occupational Exposure/Risk Potential
- 1. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally 2. Physical Requirement - Hearing - Constantly 3. Physical Requirement - Reaching - Occasionally 4. Physical Requirement - Sitting - Constantly 5. Physical Requirement - Standing - Occasionally 6. Physical Requirement - Talking - Constantly 7. Physical Requirement - Walking - Occasionally 8. Physical Requirement - Near Vision - Constantly 9. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly 10. Occupational Exposure/Risk Potential - Inside office environment - Applicable
1.
Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally
2.
Physical Requirement - Hearing - Constantly
3.
Physical Requirement - Reaching - Occasionally
4.
Physical Requirement - Sitting - Constantly
5.
Physical Requirement - Standing - Occasionally
6.
Physical Requirement - Talking - Constantly
7.
Physical Requirement - Walking - Occasionally
8.
Physical Requirement - Near Vision - Constantly
9.
Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
10.
Occupational Exposure/Risk Potential - Inside office environment - Applicable
About Phoenix Children's
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