7 jobs found in Mesa

Job Description Job Description Job Title:  Medical Billing Specialist Company:  Medstat Inc. [a Credence Global Solutions company] Medstat Inc. [a Credence Global Solutions company]  has 3 openings for the position of Charge Poster / Medical Billing Specialist, at our Mesa, AZ location. Position Summary : The ideal candidate will be responsible for managing the billing process, and ensuring accurate claims submission. This role requires a strong understanding of medical terminology, billing systems, and the ability to work efficiently in a fast-paced medical office environment. Responsibilities : Ensure the patient’s information is kept confidential, accurate and up to date. Follow and adhere to all regulations and guidelines set by state and federal programs, as well as commercial plans - HMO/PPO, etc. Confirm patient insurance eligibility. Prepare and timely submit billing data and medical claims to insurance companies. Examine patient superbills for accuracy...

Job Description Job Description Billing Specialist The Biling Specialist is responsible for processing claims for all clients, identifying and resolving claims issues adversely impacting the revenue cycle management process and achieving resolution through coordination, reconciliation, and denied claim management. In addition, follow internal and external policies and procedures to ensure accurate revenue is booked by monitoring payments, fee schedule changes, health plan reimbursement changes and any other aspects that impact revenue, cash collections and adjustments. Essential Job Functions: Properly codes services, procedures, diagnoses, and treatments Prepares and sends invoices or claims for payment or reimbursement Corrects rejected claims and ensures accuracy Track payments Follows up with patients and insurance companies about outstanding invoices Ensures accuracy Medical coding and generating claims in Athena Following up on completed claims, EOBs and...

Pride Health is hiring a Medical Biller to support our client’s medical facility based in Costa Mesa, California .This contract opportunity is a great way to start working with a top-tier healthcare organization! Responsibilities: Act as the account representative for Hoag, working with insurance companies, government payors, and patients to resolve payments and accounts. Complete assigned accounts and ensure maximum reimbursement by evaluating claims at contract rates (APC, DRG, APRDRG). Initiate appeals for underpayments and follow timely requirements to secure reimbursement. Review and respond to payor and patient correspondence in a timely manner. Escalate accounts requiring appeals due to billing, coding, or underpayment issues. Report new billing edits for review and resolution. Understand Revenue Cycle processes, managed care contracts, and payor rates, including Federal and State requirements. Interpret Explanation of Benefits (EOBs) and Electronic...

We are seeking a Senior Medical Coder to become an integral part of our team! You will conduct audits and establish compliance procedures to ensure coding accuracy and efficiency. Responsibilities: Communicate with physicians and insurance companies to diagnose claim and coding issues. Perform audits to analyze coding efficiency and accuracy rates to improve upon. Review and analyze medical records to identify diagnoses, procedures, and services provided. Assign appropriate ICD-10 codes to reflect the diagnoses and procedures documented in the medical records. Ensure coding accuracy and compliance with coding guidelines, regulations, and payer requirements. Problem solve claim edits and support the denial process as requested. Maintain coding quality accuracy rates and improve as needed. Identify documentation issues that may impact coding accuracy, create actions plans to solve identified issues. Clearly communicate (verbally and in written reports or summaries)...

Job Description We are a group of Anesthesiologists and Certified Registered Nurse Anesthetists that work, live and raise families in Arizona. Delivering high quality anesthesia services in a complex and every changing health care delivery system is a challenge that we have been successful at for over 15 years. We currently serve three different hospital systems in the valley and partner with several outpatient surgery centers and offices as well. We are locally owned and we are growing our anesthesiology practice with over 100 full-time providers and 20 office staff. We have several open positions for talented medical billers/coders or medical records professionals that can help us meet our growth opportunities. Working remotely is our current arrangement, but living in Arizona is required. Requirements Billing, coding or medical records, and EMR certification. College Education 2 years experience in professional fee medical billing. However, since anesthesia is a...

We are looking for âa Medical Biller focused on Collections to join our team! You will be responsible for the duties below. Responsibilities: Responsible collections process of all unpaid or denied claims with the appropriate insurances Process automotive c...

We are seeking a knowledgeable Senior Medical Coding Specialist to join our dynamic team. The ideal candidate will possess a strong understanding of medical coding and billing processes, including familiarity with various coding systems such as ICD-10. Responsibilities Review....