Medical Billing & Account Receivable Specialist

Medical Billing & Account Receivable Specialist Category Billing The leading cardiology group in the West Valley is expanding and looking to add valuable and skilled team members to our comprehensive and long‑standing practice. Cardiac Solutions provides a personalized, team‑oriented approach to patient care by promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach. All team members play a vital role in providing our patients with tailored care and support services. Our focus helps to prevent the progression of heart disease and minimize hospital admissions for our patients. Competitive wages Uniform/Scrub Allowance Monday – Friday for most positions 7 Company Paid Holidays* Employee Medical coverage option as low as $25.00 per paycheck* Dental & Vision* Supplemental coverage options: Life/AD&D, Short‑Term, Long‑Term, Critical Illness, Hospital, Accidental* 401(k) retirement plan Paid Time Off* Paid Sick Time Employee Assistance & Discount Programs *Available to full‑time, regular employees. Restrictions may apply. Position Summary The Medical Billing & Account Receivable Specialist position is responsible for ensuring insurance claims are paid in a timely manner and performs collecting, reconciliation, research, correspondence, and independent problem‑solving. Additionally, this position may be required to travel to all office locations to meet business needs, as requested. Essential Job Duties Collect accounts per department protocols. Process claim appeals per departmental protocols. Review claim status daily to assure claim follow‑up with payers. Analyze and research unpaid claims. Reprocess and submit accurate claims to payers. Reconcile accounts to determine underpayment, overpayment, or contractual adjustment correction. Manage aging reports. Batch and submit daily claims. Reach out to insurance companies regarding any discrepancy on unpaid/denied/rejected claims. Utilize technical ability and understanding of applicable insurance contracts and regulations. Identify and communicate any trends and carrier issues relating to billing and reimbursements. Prepare paper claims (CMS‑1500) and electronic claim submissions for secondary filing. Process inbound/outbound calls from insurance and patients with billing questions. Research and communicate any billing changes to achieve optimum performance. Update or add insurance carriers to the system. Respond to emails, flags, and overhead pages for billing related questions. Maintain patient confidentiality by following HIPAA policies and procedures. Perform other duties as assigned per the need of the organization and within the scope of the position. Position Requirements Knowledge, Skills, and Abilities Knowledge of Microsoft Office products. Knowledge of Medical Billing, CPT and ICD‑9/ICD‑10, and HCPCS codes. Knowledge of insurance carrier contracts. Knowledge of HIPAA regulations. Knowledge of medical terminology. Ability to work in a fast‑paced environment and work well under pressure. Ability to work with currency and make change. Skill in working with an EMR system. Skill in communicating with insurance carriers and patients to get claims paid and collect any account balances. Ability to maintain confidentiality and maintain professionalism. Education and Experience Two to three years of medical insurance billing and collections experience. Proficiency in researching data for analysis and closure in the account receivable arena. Excellent customer service skills. Excellent verbal and written communication skills. Excellent analytical and problem‑solving skills. Strong attention to detail. Physical Demands / Work Environment Sit for extended periods of time, stand, talk, bend or hear. Type, utilizing a computer keyboard and mouse. May lift up to 25 lbs. Utilize a multi‑line telephone system. About the Organization Cardiac Solutions is a medical, physician‑owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in total heart care. Our board‑certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands. With intensive educational opportunities through nurse‑directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you build a relationship with your physician and the many members of our team, all of whom are focused on your heart health. Equal Employment Opportunity statement: We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. This position is currently accepting applications. #J-18808-Ljbffr Delphi Technologies