Billing Specialist

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Position Details

Department: CORP | Hospital Revenue Cycle Billing
Location: Telecommuting
Shift: Mon-Fri, Days, 8am-5pm
Category: Patient Financial Services
Posting #: 919565
Employee Type: Full-Time

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.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

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
Values
  • 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

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Education
 Do you meet this requirement?
1. High school diploma or GED
Required
Experience
 Do you meet this requirement?
1. 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
 Do you meet this requirement?
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
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply