Medical biller jobs in Tucson, ArizonaCreate job alerts

Job Description PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. Scope of Work: The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: • Responsible for received claims up until Third-Party Payer has paid the claim., • Receives and examines alternate resource claims to ensure they are complete with appropriate supporting documents., • Verifies accuracy of health claim number that claimed amounts are authorized and that the items of services billed are allowed by appropriate regulations, decisions, directives, and other controlling guides., • Identifies errors, omissions, and duplications in documents and contacts the individual to resolve the problem before the claim is approved and submitted for reimbursement., • Abstracts all necessary information by auditing the appropriate E&M and assigning the correct CPT/HCPCS code, which most accurately describes each medically documented procedure., • Uses official coding conventions, techniques, rules established by the American Medical Association (AMA), American Dental Association (ADA) (CDT-2), and the Health Care Finance Administration (HCFA) for assigning codes., • Search and abstract all CPT coding, operative and therapeutic, and all other pertinent data from the medical records to identify and document appropriate patient care., • Conducts a thorough review of all abstraction and search of records using guidelines to select the most accurate and descriptive codes per CPT/HCPCS coding system., • Ensures billing outpatient claims are within six (6) business days from the date of services., • Ensures billing inpatient claims are within ten (10) days., • Batches bills and prepares all invoices and listing patient's names for submission to Blue Cross/Blue Shield Fiscal Intermediary, Medicare, Medicaid, Private Insurance, and any alternate resources., • Maintains a transmittal log on claims transmitted electronically and ensures follow-up when files are sent electronically of all alternate resource bills., • Serve as a contact person relative to any questions or problems with claims processing and coding problems., • Makes recommendations for changes in methods and procedures, information dissemination, and other processing matters to resolve recurring problems and expedite processing actions., • Determines that claims are correctly processed and that the total agrees with the pre-determined control totals., • Review reports and listings to ensure that they are in balance, proper format, sequence, and valid data., • Maintains a timely filing system that includes third-party documents, remittance advice, and transmittal from third-party payers, which advise changes in coverage or billing procedures., • Provides technical assistance with processing and maintaining CPT coding, abstraction of the complete chart (outpatient), and compliance enforcement of all regulatory requirements., • Identifies inconsistencies or discrepancies in medical documentation by notifying the appropriate providers and all other departments within the facility for complete charge capture and abstraction., • Consult with the attending physician, laboratory personnel, and all other necessary departments for compliance with all regulations and guidelines pertinent to the False Claims Act and Facilities Compliance program in preparation for itemized billing., • Adds and edits insurers to the insurer file, completes claim formats and works closely with Patient Registration to maintain the insurer file., • Responsible for maintenance and control of unbilled claims for an assigned section of patient receivables., • Reviews system-generated reports daily to identify claims that are ready for billing., • Prepares and submits claims to third-party payers, intermediaries, or responsible parties within 48 hours after all information for billing becomes available., • Correct errors for all rejected/suspended claims previously submitted to third-party payers and intermediaries, and patients according to hospital policy and procedures., • Documents all activity performed and patient accounts in the patient financial folders, such as the date billed and with whom., • Provide the supervisor with an accurate accounting of all claims in the assigned section of patient receivables., • Submits a daily billing Productivity Report reflecting the beginning inventory, claims billed, and remaining balance at the end of shift., • Manages Provider Files: (a) Keeps licenses up to date for Providers and (b) completes provider application for NPI, AHCCCS, and Medicare numbers., • Manages all access to Insurance Online data: (a) manages username and password, and (b) provides training for online usage., • Utilizes word processing and other automated equipment to perform various tasks, such as extracting and listing items from text, transmitting to other terminals, printing, formatting, filing in archives, recalling, etc., • Knowledge of the Tohono O'odham culture, customs, and traditions., • Knowledge of and skill in applying a broad body of accounting, budget, or other financial management regulations, practices, procedures, and policies related to the specific revenue cycle associated with medical billing., • Knowledge of hospital admitting requirements and procedures, including documents required for admission, transfer, discharge, AMA, or death; and types of medical problems treated by each sub-division clinic (e.g., orthopedics, neurology, urology, surgery) to make appropriate and timely referrals., • Knowledge of standard medical terms of the anatomy, common drugs, and correct spelling and appropriate medical abbreviations., • Knowledge of the hospital/clinic organization and operations and familiarity with the work processes of organizations with which the agency must coordinate and abide by Federal Regulations and standards., • Knowledge of legal regulations and requirements on confidentiality, specifically to the Privacy Act of 1974 and Health Insurance Portability and Accountability Act of 1996 (HIPAA)., • Knowledge of various interrelated steps, conditions, and procedures or processes required to assemble, review, and maintain complex billing., • Knowledge of a variety of billing, collections, accounting, and budget functional areas and their relationships to other functions to research or investigate problems or errors., • Knowledge of automated billing, collection, eligibility, claims, accounting, and budget systems to reconcile errors that require an understanding of nonstandard procedures., • Knowledge of billing, collections, follow-up, adjustment and accounting methods, procedures, and techniques to conduct responsible and challenging analysis and determinations., • Knowledge of an extensive body of alternate reimbursement policies, regulations, instructions, and the interrelationship of the procedures and regulations on eligibility., • Knowledge of the various titles of the Medicare and Medicaid federal regulations, other public laws, and regulations that apply to or affect the operation of billing of Third Party resource programs., • Knowledge of technical interpretation of rules and regulations and applying to all Third-Party Payers for accurate reimbursement., • Knowledge of the Resource Patient Management System (RPMS) and the Third Party Billing program., • Knowledge of all third-party claims submission processes and ability to keep current on changes in policies, regulations of eligibility., • Knowledge of the Utilization Review System, Program Operations, and specialized medical terminology related to direct patient care when applied to Inpatient Billing., • Knowledge of the Freedom of Information Act (FOIA) and the Privacy Act of 1974, and other applicable privacy information protecting the use of confidential information and health records., • Knowledge of and the ability to apply the Alternate Resource regulations; P.L. 94-437, Title IV of Indian Health Care Improvement Act, Indian Health Service Policy and Regulations on Alternate Resources, CFR 42-36-21 (A) and 23 (F), and P.L. 99-272, Federal Medical Care Cost Recovery Act., • Knowledge of the total Alternate Resources Program operations, priorities, and goals., • Knowledge and familiarity with rules and regulations of a compliance program and various aspects of compliance issues, specifically coding and billing related to the Hospital., • Knowledge of ICD-10 and CPT 4/HCPCS coding procedures, Uniform Hospital Discharge Date regarding diagnostic and procedural sequencing which affects Diagnoses-Related Group (DRG) assignments., • Knowledge of Common Procedure Terminology (CPT) coding utilizes the national fee scale for processing private insurance claims reimbursements., • Knowledge of online input terminal equipment and automated electronic billing system(s)., • Excellent communication skills are required to train staff on changes through continuing education and communication with medical staff., • Skill in typing and basic computer word-processing, calculator, spreadsheets, and database software programs., • Skill in providing superior customer service to external and internal customers., • Ability to interpret and resolve problems based on information derived from system monitoring reports and the UB-92 and HCFA-1500 billing forms submitted to the third-party payer., • Ability to analyze complex medical and regulatory information to arrive at the most logical and advantageous billing method., • Ability to exercise considerable tact in maintaining effective work relationships with various employees, clients, and patients., • Ability to handle multiples tasks and meet deadlines., • Ability to exercise independent judgment., • Ability to carry out instructions furnished in verbal or written format., • Ability to communicate efficiently and effectively verbally and in writing., • Ability to establish and maintain positive and effective working relationships with other employees and the general public., • High School Diploma or General Education Diploma., • Must type 40 WPM., • Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record., • May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years)., • If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles., • Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Medical, Dental and Vision Insurance.

Medical, Dental and Vision Insurance.

Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U. Paid Life Insurance - One Medical pays 100

Remote Opportunity: Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to join our team as Link Posting Marketing Representatives.This is a remote, commission-based role that re

Remote Opportunity: Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to join our team as Link Posting Marketing Representatives.This is a remote, commission-based role that re

Remote Opportunity: Link Posting Marketing Rep (No Experience Needed!) Are you self-driven, reliable, and ready to earn from anywhere? We’re looking for motivated individuals to join our team as Link Posting Marketing Representatives.This is a remote, commission-based role that re

BDC Representatives will assist the Sales Team with all Internet and Phone inquiries, generated through any and all advertising or promotions of The Jim Click and Holmes Tuttle Automotive Team.The following is a brief overview of the job duties of the BDC Customer Service Representative.Communicate

Biomedical Equipment Technician - Assemble, maintain, troubleshoot and calibrate medical equipment. They may function as clinical or specialty technicians, medical administrative personnel and healthcare providers at medical treatment facilities. Search and Rescue Medical Corps - Performs aircrew an

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

CSR / Remote] - Work from Anywhere in U.Company Match / Paid Vacation / Health Insurance (Available Immediately) - As a Call Center Representative at 160 Driving Academy, you will: Answer incoming calls and respond to customer inquiries manage a high volume of customer calls with professionalism and

Competitive pay / Medical, dental & vision / 401k match / PTO - As a Customer Service Associate at Optimal Ticketing, you will: Answer incoming phone calls and emails, providing accurate and timely information on inventory availability, ticket status and billing and payment transactions; Manage tick

Banner Health - BUMC South Tucson (2800 E Ajo Way) [Nursing Assistant / Health Aide] As a Patient Care Assistant at Banner Health, you'll: Provide assistance in activities of daily living and complete necessary tasks to promote patient health; Collect patient specimens and data, including vital sign

Customer Service / Fully Remote] - Anywhere in U.Competitive Pay - As a Customer Support Rep you'll: Help customers with technical and non-technical inquiries across multiple channels (Email and Live Chat); Engage in meaningful conversations with customers and problem-solve when things don't go quit

Both PT & FT Available / Medical, Dental, Vision / PTO / 401K - As a Customer Service Agent you'll: Receive inbound calls and make outbound service calls, assess the customer's transportation needs, and assist appropriately; Interact with clients, transportation providers, and other customers via ph

Customer Service / Remote] - Anywhere in U.Competitive Pay - As a Customer Support Member you'll: Achieve and maintain expert knowledge on the product; Handle customer inquiries in a timely manner; Guide customers through teaching them how to use SmartDreamers and help them troubleshoot issues throu

Up to $24 per hour / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Equip, you will: Answer inquiry calls, emails, web forms, etc.

Customer Service / Remote] - Anywhere in U.Competitive pay - As a Customer Support Agent at Clerk Chat, you will: Respond to customer inquiries and issues in a timely and professional manner; Maintain a high level of customer satisfaction by providing excellent service and resolving problems effecti

Customer Service / Remote] - Anywhere in U.Competitive pay - As a Customer Support Specialist at foreUP, you will: Monitor and respond to customer inquiries via phone and email; Provide excellent customer service by resolving issues and answering questions in a timely and professional manner; Utiliz

Customer Support / Remote] - Anywhere in U.Competitive pay / Health, dental & vision / 401k match / PTO - As a Customer Service Rep at Diana Health, you will: Answer and triage incoming phone calls and app messages from our current patients; Provide excellent customer service by addressing inquiries

Competitive pay + bonuses / Medical, dental & vision / 401k / PTO - As a Call Center Specialist at Wider Circle, you will: Conduct outbound calls to prospective members, introducing them to our programs; Build rapport with members to understand their needs and effectively communicate our value propo

Customer Service / Fully Remote] - Anywhere in U.Up to $27 per hour + bonus / Full benefits - As a Customer Support Rep you'll: Provide concierge-style service to the CrossFit community, cultivating lifetime loyalty to the brand by fielding inquiry emails; Resolve (or escalate) customer inquiries, c

Up to $24 per hour / Medical, dental & vision / 401k match / PTO - As a Customer Service Rep at Copart, you will: Manage incoming calls and emails from customers, responding promptly and professionally; Provide accurate and timely information to customers regarding their inquiries and concerns; Reso

Up to $25 per hour / Medical, dental & vision / 401k match / PTO / Tues-Sat 8a-4:30p CST - As a Customer Service Advocate at iRhythm Technologies, you will: Answer inbound calls in our Contact Center; Verify and investigate patient insurance, estimate benefit coverage and out of pocket costs, and di

K+ per year / Medical, dental, and vision / WFH budget / Monthly cell phone & internet budget / PTO - As a Customer Experience Associate at Benepass, you will: Provide exceptional customer service to clients through various communication channels such as phone, email, and chat; Respond promptly to i

Billing / Remote] - Anywhere in U.K per year + benefits - As an Accounts Receivable Specialist at Tucows, you will: Manage and maintain the accounts receivable process by accurately recording and tracking all incoming payments and customer transactions; Follow up with customers regarding outstanding

Customer Service / Remote] - Anywhere in U.Up to $70K per year / Health, dental & vision / 401k / PTO - As a Customer Support Rep at GreenSpark, you will: Educate customers on our products and services; Troubleshoot and resolve customer issues; Maintain accurate and detailed records of customer inte

Competitive pay / Medical, dental & vision / 401k match / PTO - As a Collections Specialist, you will: Service a portfolio of small and medium sized business (SMB) customer accounts using a variety of contact methods to collect, including phone calls, text messages, and emails; Negotiate with custom

Competitive pay / Flexible schedule - As a Customer Service Coordinator at Honeydew, you will: Serve as the primary point of contact for patients, providing guidance, support, and information about their care plans; Answer patient inquiries related to appointments, medical services, and treatment op

Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at OneTouch Direct, you will: Respond to customer inquiries and concerns in a timely and professional manner; Provide accurate information and solutions to customer issues; Maintain a high level of customer satisfact

Napa Auto Parts - [Customer Service Representative] As a Customer Service Representative at Napa Auto Parts, you'll: Respond to customer inquiries regarding products, provide quotes, and handle order entry; Place customer orders via telephone, fax, email, electronic methods, or walk in; Build custom

Competitive pay - As a Collections and Payments Specialist at Nira Medical, you will: Interact with third party payors and patients for the purpose of collecting past due health insurance claims; Achieve daily accomplishments that produce progress towards monthly, quarterly and annual cash collectio

Customer Service / Remote] - Anywhere in U.Up to $55K per year / Comprehensive benefits - As a Care Experience Specialist at Charlie Health in the Customer Service sector, you'll: Communicate effectively and compassionately with clients and their families; Provide timely and accurate information to

Customer Service / Fully Remote] - Anywhere in U.Competitive compensation / Company provided laptop, monitor & accessories - As a Customer Care Rep you'll: Be the first responder of customer inquiries via phone, email, and chat; Listen, identify, and assess each customer's need to offer a solution t

Customer Service / Remote] - Anywhere in U.Competitive pay & bonuses - As a Reservations Agent you'll: Handle incoming reservation inquiries via telephone, email, and online platforms; Assist guests in selecting accommodations based on their preferences and needs; Process reservations and payment de

Customer Support / Remote] - Anywhere in U.Up to $20 per hour - As a Customer Service Rep at Promenade, you will: Provide friendly, efficient, and accurate Tier 1 support to our customers and floral partners via phone and email; Listen to customer inquiries, diagnose issues, and provide helpful solu

Accounts Payable / Remote] - Anywhere in U.Up to $55K per year - As an Accounting Specialist at Hawaiian Bros Island Grill, you will: Manage the accounts payable process to facilitate seamless communication and document handling; Reconcile vendor statements; Prepare and issue annual 1099 forms; Coll

K+ per year / Medical, dental & vision / 401k match / PTO - As an Accounts Payable Specialist at The Voleon Group, you will: Manage and process invoices accurately and efficiently; Maintain vendor records and resolve any discrepancies; Communicate with vendors and internal teams to resolve payment i

Medical, dental & vision / 401K / PTO - As an Accounting Coordinator at CorVel, you will: Research unresolved items prior to month-end closing and resolve; Develop and define monthly A/R Collection plan and supervisor procedures; Balance spreadsheets, prepare reports, and close month on schedule; Un

Customer Service / Remote] - Anywhere in U.Up to $26 per hour / Health, dental & vision / 401k matching / PTO / Equipment provided - As a Customer Support Specialist at Mudflap, you will: Communicate effectively with customers to provide timely and accurate resolutions to their inquiries; Maintain a