Medical Billing Specialist

Job Description

Job Description

We are looking for a Medical Billing Specialist to join a behavioral health organization in Phoenix, Arizona in a contract-to-permanent capacity. This position is ideal for someone who brings strong accounts receivable expertise, thrives in a fast-paced billing setting, and can manage claim activity with accuracy and urgency. The role will focus on medical billing operations, payer follow-up, and revenue cycle support while helping maintain steady cash flow in a high-volume environment.

Responsibilities:
• Manage accounts receivable activities for medical claims, ensuring timely follow-up on outstanding balances and unresolved reimbursements.
• Prepare, review, and submit institutional claims, including UB-04 billing, with close attention to accuracy and payer guidelines.
• Investigate denied or rejected claims, determine root causes, and take corrective action to improve reimbursement outcomes.
• Post payments, reconcile remittances, and verify that billing records align with payer responses and account activity.
• Communicate with payers to resolve claim issues, clarify coverage questions, and accelerate payment turnaround.
• Use Excel to organize billing data, track aging trends, and produce reports that support revenue cycle performance.
• Support a high-volume monthly billing workload by prioritizing tasks effectively and maintaining consistent productivity.
• Work within billing platforms and payer portals, including systems such as Solis and Mercy Care when applicable, to manage claim status and account resolution.• Proven experience in medical billing and accounts receivable within a healthcare setting.
• Hands-on knowledge of UB-04 claim submission, payer follow-up, denials management, and payment posting.
• Strong Excel skills with the ability to analyze data, track receivables, and manage billing reports efficiently.
• Background in behavioral health billing is highly preferred.
• Familiarity with payer systems or networks such as Solis, Mercy Care, or similar platforms is strongly preferred.
• Ability to work accurately in a deadline-driven, high-volume billing environment.
• Understanding of medical claims, collections, and reimbursement processes.
• Experience with ePaces or related healthcare billing tools is a plus.