Medical Biller

Phoenix, Arizona

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Premier OBGYN, a private practice serving the communities of Phoenix Arizona, is seeking a full-time OB/GYN Medical Biller to join their established practice to support the growth of women’s health services in the community. The OB/GYN Medical Biller will be joining a multidisciplinary OB/GYN group consisting of OB/GYN physicians, certified nurse-midwives, and APP’s. Our strategy has been team-based and strongly focused on safety, value, innovation, and integration within our health system and providing compassionate care to our patients.  Employment with Premier OBGYN allows you to enjoy a fulfilling career in an organization with strong collaborative leadership, a culture of support, and a focus on patients.

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JOB SUMMARY:

Hours: Monday - Friday 8am-5pm (Flexible) 

Location: 1300 N 12th Street, Phoenix, AZ 85006 

The Medical Biller/Coder provides comprehensive advanced billing support to Premier OBGYN, LLC to enhance the generation of accurate insurance and patient billing claims and statements. All employees are responsible for supporting the company’s goals and mission, by following all company policies and procedures.

 

ESSENTIAL FUNCTIONS:

• Acts as coordinator for information needed to enter patient demographics and medical procedures into the billing database.

• Maintains updated knowledge of insurance payors billing addresses and requirements to produce an accurate claim.

• Maintains data flow at required intervals as follows:Electronic data – processed not more than 21 days from date of service.

• Manual data processed within 48 hours of receipt.

• A daily volume of processed billings, equivalent to 5% of a monthly volume – must be processed. Exceptions to this volume must be authorized by billing manager.

• Minimum hourly volume of 25 demographic records with charges.

• Adheres to all office procedures and guidelines.

ADDITIONAL FUNCTIONS:

• Assist with answering incoming calls from patient statement questions and resolve issues or forward to the appropriate person as needed.

• Assist with mailing of claims and correspondence as needed.

• Completing status reports – daily and weekly or as instructed.

• Maintain all logs for incoming and outgoing data flows. Accounting for all facility volumes and daily charges.

• Immediately reporting any unexpected fluctuations to the billing manager.

• Checking voicemail messages and returning calls as needed.

• Balancing all data entered to predetermined totals and providing 10-key tapes as verification.

• All other duties as assigned.

Additional Responsibilities of the Medical Biller:

• Submit claims

• Charge entry

• Review claims for accuracy and follow up

• Handle denials and appeals

• Review clinical documentation for validation of codes

• Communicate with patients over the phone

• Assist with billing questions

• Handle all payers

• Post payments

• Provide feedback to providers regarding best documentation practices

• Performs analysis and provides feedback to providers/billing/business manager on a regular basis

MINIMUM QUALIFICATIONS:

• One year of advanced billing support experience in a corporate setting.

• Knowledge of business software including word processing, spreadsheets and application presentations.

• Exceptional verbal and written communication skills to be utilized in interfacing with all levels of management.

• Excellent organizational skills and ability to manage multiple and diverse priorities simultaneously, meeting deadlines as required.

• Ability to handle highly confidential information.

• Ability to exercise independent judgment.

• Knowledge of standard office equipment.

• Ability to lift a minimum of 35 pounds and sit for long periods of time.

Work Environment:

The work environment characteristics described here are representative of those and employee encounters while performing the duties of this job. Premier OBGYN provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, and gender identity. Premier OBGYN complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This applies to all terms and conditions of employment including, recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

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Benefits:

• Full-time

• Dental insurance

• Health insurance

• Paid time off

 

Schedule:

• 8 hour shift

 

Ability to commute/relocate:

• Phoenix, AZ 85015: Application Question(s):

• Are you willing to work in office 5 days a week?

• Are you willing to relocate?

 

Experience:

• Recent OB/GYN Medical billing: 3year (Required)

  • Diagnostic Coding

  • Procedure Coding

  • Billing & Coding Application

  • Records Management

  • Introduction to Healthcare Communication

  • Medical Law & Ethics

  • Healthcare setting, Claim Cycle, and Claims Processing.

• Front-end demographic/eligibility related claim edits: 1 year (Preferred)

• Bi-Lingal: Spanish (Preferred)

 

Work Location:

• On site.

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The mission of Premier OB GYN is to provide safe and compassionate healthcare. We strive to be leaders in innovative change with a patient-led team approach to personalized care.  We strive to be at the forefront of midwifery care with physician collaboration.

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Premier OBGYN is dedicated to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants. Therefore, Premier OBGYN does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status. We are committed to building a workforce that reflects the communities we serve. Our commitment enables us to deliver high quality healthcare and critically address healthcare inequities.