Medical Biller - Payment Posting

Community Medical Services • Scottsdale, AZ

1d • Hybrid

About The Position

Community Medical Services (CMS) is hiring a Medical Biller that will be responsible for performing all aspects of billing functions including identifying and resolving complex claims issues adversely impacting the revenue cycle management process and achieve resolution through coordination, reconciliation and denied claim management. This role will ensure proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement including projects, problem and issues escalation, A/R management and research. As part of our mission to help individuals recover from substance use disorders, you’ll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.

Along the way, we’ll invest in your well-being through a benefits package that includes:

Subsidized medical, dental, and vision insurance
Health savings account
Short and long-term disability insurance
Life insurance
Paid sick, vacation, and holiday time
401K retirement plan with match
Tuition and CME reimbursement up to 100%
Employee assistance program to support your mental health and wellness
Ongoing professional development

Requirements

• Ability to process multiple payers AR in multiple states
• Ability to analyze high volume claims for resubmission or final adjudication
• High School diploma or equivalent is required, some college coursework in billing/collections, business administration, or accounting preferred
• 2 years minimum of experience as a medical biller or in collections
• Experience working with ICD-10, HCPCS and CPT Codes
• Working knowledge of medical insurance & medical terminology
• Working knowledge of private practice billing
• Good understanding of Medicaid, Medicare, Commercial and Veterans Administration Plans
• Strong organization skills
• Strong skills on the compute
• Ability to analyze financials and make presentations to providers
• Good team building skills
• Strong billing experience in EMR
• Proficiency in all Microsoft Application

Responsibilities

• Timely submission of clean electronic claims
• Follow up on unpaid claims
• Data entry and patient demographics verification.
• Posting of insurance and patient payments.
• Managing denials and claims resubmission
• Aging and follow up.
• Communication with insurance companies.
• Appeals
• Secondary claims
• Patient statements and Superbill Request

Benefits

• Subsidized medical, dental, and vision insurance
• Health savings account
• Short and long-term disability insurance
• Life insurance
• Paid sick, vacation, and holiday time
• 401K retirement plan with match
• Tuition and CME reimbursement up to 100%
• Employee assistance program to support your mental health and wellness
• Ongoing professional development

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED