Primary City/State:
Phoenix, Arizona
Department Name:
Billing Reimbursement
Work Shift:
Day
Job Category:
Revenue Cycle
POSITION SUMMARY
This position is responsible for all clerical aspects of claim appeals to the appropriate insurance health plans including but not limited to faxing appeals, calling insurance companies to verify information (fax numbers, mailing addresses, etc.), on-line portal methods, and client contact for medical record requests. The scope of this position is inclusive of other administrative duties to help support the Revenue Team as needed.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
CORE FUNCTIONS
1. Reviews incoming payer correspondence related to appeals, denials, etc. and distributes to the appropriate Revenue Specialist, as needed.
2. Documents and records EP Client Correspondence batches in preparation for distribution to third-party vendor.
3. Verifies payor appeal requirements in order to obtain, compile and submit documentation as needed from clients, patients, system resources, etc.
4. Coordinates and distributes medical records requests from insurance payors following applicable regulatory, compliance and policy guidelines.
5. Scans, faxes, mails and emails documents as needed for Revenue Specialists work flow.
MINIMUM QUALIFICATIONS
- High School Diploma or equivalent.
- One year of Clerical experience.
- Basic mathematical skills.
- Ability to operate computer and 10-key calculator.
- Excellent organizational skills.
PREFERRED QUALIFICATIONS
- Experience in a Medical Billing environment.
- ICD-10 Coding knowledge/experience.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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