Full Cycle Medical Billing (Glendale)

Full Cycle Medical Billing Job Details Job Location : AUUA Glendale - Glendale, AZ Position Type : Full Time Job Shift : Day Description 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 Qualifications Requirements 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 PI9486b1529ec3-38003-38546339