Job Description
Full Cycle Medical Billing
Job Details Job Location: AUUA Glendale - Glendale, AZ
Position Type: Full Time
Job Shift: Day
Charge Entry Portion:
• Post charges daily
• Reviews charges for correct coding
• Audit codes for potential missed charges
• Preparing, reviewing, and transmitting claims using billing EMR
• Reconcile missing encounters
Prior Auth Portion:
• Review EMR chart messaging and review schedules daily for upcoming surgical & in office procedures
• Review chart documentations to ensure patient meets medical policy guidelines
• Prioritize authorization request according to urgency
• Obtain authorization via payer website or by phone and follow up regularly on pending cases
• Verify coverage and benefits and calculated any out-of-pocket portions due
• Contact patients to review any out-of-pocket portions due prior to surgery
AR Follow Up Portion:
-Resolve errors and make claim edits assigned in work buckets
-Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims
-Contact payers and patients when necessary
-Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes
-Make necessary adjustments to patient demographic, insurance, and account balance information
-Complete A/R adjustments where permitted and appropriate: request other adjustments were permitted and appropriate
-Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practices
QualificationsRequirements
• Minimum 1 year charge posting, prior authorization and AR follow up experience
• Understanding of payer medical policy guidelines to manage authorizations effectively
• Proficient use of CPT and ICD10 codes
• Detail oriented and above average organizational skills
• Plans and prioritizes to meet deadlines
• Ability to multitask and remain focused while managing a high volume, time sensitive workload
• Interventional Radiology (IR) experience helpful
PI1c37f42279b0-25405-38546339
...Assist with driving, backing, dumping, and parking duties. Utilize knowledge of compartmentalization and other concepts related to tree wounding/pruning Anvil Power is an Equal Employment Opportunity and Affirmative Action employer. We pride ourselves on our...
...Information About the Role GREAT OPPORTUNITY Memorial Hospital in Belleville and Shiloh, IL is seeking a Physical Therapist... ...a diverse patient population that includes opportunities for experience in orthopedic, sports medicine, neurologic, vestibular/balance...
...Job Description Job Description Role: Data Manager Organization: Son of a Saint Salary: $60,000 - $70,000 Annually About Us: Son of a Saint exists to enhance the lives of fatherless boys through mentorship, emotional support, development of life skills...
...Job Description Job Description Auto Body tech experienced in all areas of auto body repair & painting Collision Repair to Restorations. Will do some metal fab. of patch panels Panel replacement Quarter panels , fenders doors etc. Mech. experience helpful. this job...
...Job Description Job Description Principal Biostatistician Statistics & Data Corporation (SDC), a specialized contract research organization (CRO) headquartered in Arizona, delivering top-tier clinical trial services to pharmaceutical, biologic, and medical device...