Sr Biller - HonorHealth
PHOENIX, AZ 85027
About the Job
Sr Biller - Monday - Friday 7:00 am - 3:30 pm
Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.
HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more.
Join us. Let’s go beyond expectations and transform healthcare together.
HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 16,000 team members, 3,700 affiliated providers and close to 1,100 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com.
High School Diploma or GED Required
Experience
2 years patient accounts experience OR Required
3 years physician billing Required
Medicare or Commercial – Physician Billing and 2 years experience with reimbursement or revenue cycle/claims processing Required
Licenses and Certifications
Other CCS Coursework 2 Years Required
Responsibilities:Job Summary
Under the direction of the Billing Supervisor, bills and files all claims on both UBs and 1500 forms. References DDE for verification of beneficiary's name for Medicare claims. Identifies and communicates reoccurring billing errors to Billing Supervisor and recommends solutions or resolutions. Adjusts claims as necessary. Performs Commercial and Medicare billing and research within timeframe and benchmark expectations set by PBS Management. Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, Hospital departments, physicians' offices and outside vendors.
- On a daily basis submit electronic & paper claims, monthly patient statements and correct claims. On a daily basis provide feedback to physician practice staff on data & demographic corrections.
- Coordinate with practice managers and PBS staff to maintain expected daily submission benchmarks for AR collections, closed claims, clean (first pass rate 90%) and bad debt rates. Update spreadsheet with daily statistics.
- Process daily Gateway EDI requests and receipts to reconcile to patient accounting system submissions and adheres to regulatory guidelines for timely submission and reprocessing.
- Submit and receive 837 files from outside vendors.
- Manage payer file maintenance notify physician groups of updates and changes specific to
- Assist as a team member in the development, implementation and improvement of internal controls needed to assure and maintain sound billing practices.