LogoFresh Jobs Ahead
HonorHealth
HonorHealth
EducationHealthcare
HonorHealth is an integrated healthcare organization providing hospital and outpatient care, primary care, urgent care, and telehealth services, including E-Visits. Its patient-facing digital tools include MyChart, online appointment scheduling, billing resources, and price transparency information. In addition to clinical services, HonorHealth supports medical research, residencies, fellowships, continuing medical education, medical student resources, and community programs through its foundation and volunteer initiatives. The organization combines healthcare delivery, education, research, and community engagement within a broad health system.
LinkedIn
Company Jobs

Senior Hospital Biller – Medicare and Commercial Claims

Process Medicare and commercial hospital claims for HonorHealth, an Arizona nonprofit healthcare system. Maintain billing accuracy and revenue cycle benchmarks while submitting electronic and paper claims.

USUnited StatesAZArizonaHybridFull-timeSeniorEnglish RequiredBillerGeneral

Description

  • Prepare and file claims using UB and CMS-1500 forms.
  • Use DDE to verify beneficiary names for Medicare claims.
  • Spot recurring billing errors and report them to the Billing Supervisor.
  • Recommend ways to resolve billing errors.
  • Adjust claims as needed.
  • Handle commercial and Medicare billing research within management timelines and benchmarks.
  • Assist patients, government agencies, commercial insurers, hospital departments, physician offices, and outside vendors.
  • Submit electronic and paper claims, monthly patient statements, and corrected claims each day.
  • Give physician practice staff feedback on data and demographic corrections.
  • Work with practice managers and PBS staff to meet submission, accounts receivable collection, closed-claim, clean-claim, and bad-debt benchmarks.
  • Record daily statistics in spreadsheets.
  • Process Gateway EDI requests and receipts, reconciling them with patient accounting system submissions.
  • Follow regulatory requirements for timely claim submission and reprocessing.
  • Send and receive 837 files from outside vendors.
  • Maintain payer files and inform physician groups about relevant updates.
  • Help develop, implement, and improve internal controls for reliable billing practices.
  • Report to the Billing Supervisor.

Requirements

  • Must live in the greater Phoenix metropolitan area.
  • Substantial hospital billing experience in a medium or large healthcare system.
  • EPIC experience is preferred.
  • High school diploma or GED.
  • Two years of Medicare or commercial physician billing and reimbursement, revenue cycle, or claims processing experience.
  • Two years of patient accounts experience, or three years of physician billing experience.
  • Advanced medical billing certification preferred within two years of hire.
  • CCS coursework.
  • Experience with Medicare and commercial billing.
  • Experience submitting claims on UB and CMS-1500 forms.
  • Knowledge of DDE, Gateway EDI, 837 files, and patient accounting systems.
  • Ability to meet billing, claims processing, and revenue cycle benchmarks.

Benefits

  • Remote work arrangement with office attendance when needed.
  • Weekday schedule available between 6:00 a.m. and 5:00 p.m., Monday through Friday.
  • Career development opportunities.
  • Advanced medical billing certification completion within two years of hire is preferred.

Related Jobs

Berkshire Hathaway GUARD Insurance Companies

Senior Complex Liability Adjuster

Berkshire Hathaway GUARD Insurance Companies
1,001 – 5,000 Employees
HealthcareHospitalityLogistics
USUnited StatesAZArizonaILIllinoisNJNew JerseyNYNew YorkPAPennsylvaniaTXTexas
$80,000 – $120,000 / year
HybridFull-timeSeniorLeadEnglish RequiredAdjusterGeneral

Manage litigated commercial liability claims for Berkshire Hathaway GUARD Insurance Companies, from coverage and damages evaluations through resolution. Work with defense counsel and other stakeholders to develop claim strategies and negotiate settlements.

Open