Medical Billing Specialist

Position Overview

Ledgent Finance & Accounting is currently seeking a Medical Billing Specialist to join a dedicated team in Arizona. The role focuses on ensuring efficient billing and collections operations while maintaining accounts receivable management. This position requires a detailed-oriented professional with a strong background in homecare billing and collections management.

**This is a Temporary position. 100% in-office.

Responsibilities

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Conduct review of billable claims info in all required systems for billing submission and work collectively with pre-billing team when findings require further investigation and resolution.
• Manage accurate and timely submission of all billing, collections, and accounts receivable functions for the agency.
• Comprehensive working knowledge of payer contracts and ensuring that payers are billed according to contract provisions.
• Stay informed and up to date on payer changes related to new policy and procedure requirements that affect the agency and communicate these changes clearly and concisely to the Controller and Director of Business Operations HCS & Finance.
• Represent and act on behalf of the agency in resolving conflicts with payers.
• Collaborate with Controller and Director of Business Operations HCS & Finance in matters of accepting/declining problematic payer requests and responses.
• Monitor aged accounts receivables and prepare outstanding debt reports.
• Resubmit unpaid, denied, corrected, and late claims to payers related to any and all billing issues.
• Gather, monitor, and report key billing information to Controller and Director of Business Operations HCS & Finance.
• Work with Controller and Director of Business Operations HCS & Finance in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
• Collaborate with Controller and Director of Business Operations HCS & Finance in successfully reconciling the billing system reports with the general ledger.
• Establish and maintain effective working relationships with co-workers at all levels, consumers, caregivers, payers, and referral sources.
• Protect the confidentiality of Consumers, Caregivers, and agency information through effective controls.
• Perform other duties as assigned by Supervisor.

Qualifications and Experience

• A minimum of 3 years' experience in homecare billing and collections management.
• Experience with AZ AHCCCS Long Term Care billing preferred but not required.
• Experience using billing information systems.
• Knowledge of corporate business management and governmental regulations.
• Ability to exercise discretion, independent judgment, and demonstrate good communication, negotiation, and public relations skills.
• Demonstrated capability to accurately manage detailed information.
• Computer/Software skills and proficiency in Excel & Word.
• Experience with EVV Aggregation System is a plus.

Work Hours

8:00 AM - 5:00 PM, Monday - Friday.

Benefits

Competitive compensation package with a minimum pay of $25 per hour.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.