Medical Biller (Full-Time)
We are seeking an experienced Medical Biller to join our team in Tucson, Arizona. This role is responsible for managing the full-cycle billing process, with a strong emphasis on Ambulatory Surgery Center (ASC) billing. The ideal candidate will have a thorough understanding of payer requirements, claims submission, and reimbursement processes specific to surgical services.
Key Responsibilities:
- Prepare, review, and submit accurate claims for services performed in an Ambulatory Surgery Center (ASC)
- Verify patient insurance coverage, benefits, and eligibility
- Ensure proper coding is applied in collaboration with coding staff (ICD-10, CPT, HCPCS)
- Follow up on unpaid or denied claims and resolve billing issues in a timely manner
- Post payments, adjustments, and reconcile accounts receivable
- Communicate with insurance companies regarding claim status, appeals, and discrepancies
- Maintain compliance with federal, state, and payer-specific billing regulations
- Work closely with clinical, coding, and front-office staff to ensure accurate documentation and billing workflows
Qualifications:
- High school diploma or equivalent required; associate degree in healthcare administration or related field preferred
- Minimum of 2+ years of medical billing experience required
- Proven experience billing for an Ambulatory Surgery Center (ASC)
- Strong knowledge of insurance guidelines, including Medicare, Medicaid, and commercial payers
- Familiarity with surgical billing, modifiers, and bundling rules
- Experience with electronic billing systems and practice management software
- Excellent attention to detail, organizational, and analytical skills
- Strong communication and problem-solving abilities
Work Environment & Schedule:
- Full-time position (40 hours per week)
- On-site or hybrid work options may be available based on organizational needs
- Monday through Friday, standard business hours
Benefits (may vary by employer):
- Competitive compensation
- Health, dental, and vision insurance
- Paid time off and holidays
- Retirement savings plan
- Opportunities for professional development