Honor Health

Nonprofit healthcare system providing comprehensive care

Senior Biller

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeArizona, USANo salary listed

About the Job

Requirements

Strong hospital billing experience from a medium to large healthcare system is required.
A high school diploma or GED is required.
Medicare or commercial physician billing and 2 years of reimbursement or revenue cycle/claims processing experience are required, or 2 years of patient accounts experience, or 3 years of physician billing experience.
Must reside in the greater Phoenix metro area.

Responsibilities

Bill and file claims on UB and 1500 forms under the direction of the Billing Supervisor.
Reference DDE to verify beneficiaries' names for Medicare claims.
Identify and communicate recurring billing errors to the Billing Supervisor and recommend solutions or resolutions.
Adjust claims as necessary.
Perform commercial and Medicare billing and research within management-set timeframes and benchmarks.
Provide customer service to patients, government agencies, commercial insurers, hospital departments, physicians' offices, and outside vendors.
Submit electronic and paper claims and monthly patient statements, correct claims, and provide daily feedback to physician practice staff on data and demographic corrections.
Coordinate with practice managers and PBS staff to maintain daily benchmarks for accounts-receivable collections, closed claims, clean first-pass rate, and bad-debt rates; update the spreadsheet with daily statistics.
Process daily Gateway EDI requests and receipts to reconcile them to patient accounting system submissions, and comply with regulatory guidelines for timely submission and reprocessing.
Submit and receive 837 files from outside vendors.
Manage payer file maintenance and notify physician groups of relevant updates and changes.
Assist as a team member in developing, implementing, and improving internal controls to assure and maintain sound billing practices.

Desired Qualifications

EPIC experience is preferred.
An associate degree in Business Administration or Finance is preferred.
Completion of advanced medical billing certification within two years of hire is preferred.
Three years of Medicare or commercial facility billing experience is preferred.

Primary City/State:

Virtual Arizona

Category:

Billing and Revenue Cycle

Shift:

Day

Department:

Patient Financial Services



Must have strong hospital billing experience from a medium to large healthcare system. Prefer EPIC experience. This is a remote position but must be able to come into the office when necessary.

M-F, and work schedule can be anytime between 6:00am - 5:00pm.

**Must reside in the greater Phoenix metro area**

Great care starts with great people. (Like you.)

At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

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.

ESSENTIAL FUNCTIONS

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.

EDUCATION

High School Diploma or GED Required
Associates in Business Administration, Finance Preferred or
Other / Certificate Complete advanced medical billing certification within two years of hire date Preferred

EXPERIENCE

Other Medicare or Commercial – Physician Billing and 2 years experience with reimbursement or revenue cycle/claims processing Required
2 years patient accounts experience Required or
3 years physician billing Required
3 years Medicare or Commercial - Facility Billing experience Preferred

LICENSES AND CERTIFICATIONS

Other CCS Coursework

We're all in for your career.

About the Company

Honor Health

Nonprofit healthcare system providing comprehensive care

Preparing company summary for Honor Health.

Company size: 5,001-10,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Scottsdale, AZ
Founded: 2013

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