Healthcare Outcomes Performance Co. (HOPCo)
Billing Specialist
Healthcare Outcomes Performance Co. (HOPCo), Phoenix, Arizona, United States, 85003
Job Title
Billing Specialist at Healthcare Outcomes Performance Co. (HOPCo)
Benefits
Competitive Health & Welfare Benefits
HSA with qualifying HDHP plans with company match
401k plan after 6 months of service with company match (Part‑time employees included)
Employee Assistance Program that is available 24/7 to provide support
Employee Appreciation Days
Employee Wellness Events
Qualifications
High school diploma/GED or equivalent working knowledge preferred.
Minimum of two to three years of experience in medical billing.
Prior experience working on claim errors in a claims management system preferred.
Must have strong knowledge of resolution to payor edit reports, and reconciliation of clearinghouse and payor acceptance reports.
Candidates with knowledge of ANSI formatting preferred.
Essential Functions
Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers.
Review and prepare claims for manual and/or electronic billing submission.
Reviews insurance rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding rejections.
Correct and identify billing errors and resubmit claims to insurance carriers.
Update CAS segments on secondary electronic claims as needed.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Verifies receipt of claim with insurance plans, determining the next appropriate action step.
Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
The Billing Specialist is responsible for the facilitation of patient billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, and ensuring reimbursement to the practice.
Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value‑based care programs, and musculoskeletal delivery networks.
Seniority Level Entry level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
#J-18808-Ljbffr
Benefits
Competitive Health & Welfare Benefits
HSA with qualifying HDHP plans with company match
401k plan after 6 months of service with company match (Part‑time employees included)
Employee Assistance Program that is available 24/7 to provide support
Employee Appreciation Days
Employee Wellness Events
Qualifications
High school diploma/GED or equivalent working knowledge preferred.
Minimum of two to three years of experience in medical billing.
Prior experience working on claim errors in a claims management system preferred.
Must have strong knowledge of resolution to payor edit reports, and reconciliation of clearinghouse and payor acceptance reports.
Candidates with knowledge of ANSI formatting preferred.
Essential Functions
Responsible for working claim errors in claims management system ensuring clean claims are submitted timely to insurance carriers.
Review and prepare claims for manual and/or electronic billing submission.
Reviews insurance rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding rejections.
Correct and identify billing errors and resubmit claims to insurance carriers.
Update CAS segments on secondary electronic claims as needed.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
Verifies receipt of claim with insurance plans, determining the next appropriate action step.
Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
The Billing Specialist is responsible for the facilitation of patient billing and collection activities, following patient accounts through the billing process to the payor, working with the payor through claims processing, and ensuring reimbursement to the practice.
Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value‑based care programs, and musculoskeletal delivery networks.
Seniority Level Entry level
Employment Type Full‑time
Job Function Accounting/Auditing and Finance
Industries Hospitals and Health Care
#J-18808-Ljbffr