Billing Specialist

Billing Specialist (JN - Phoenix, Arizona

Salary: USD
21 - USD
23.75 per hour

Location: Phoenix, AZ

Compensation: $21-$23.75 / hour

A healthcare organization in Phoenix is seeking an experienced Billing Specialist to support revenue cycle operations and ensure timely reimbursement from commercial, government, and managed care payers. This role will play a critical part in managing claim submissions, payment posting, account follow‑up, and denial resolution while partnering closely with patients, providers, and insurance carriers.

The ideal candidate is detail-oriented, proactive, and experienced in healthcare billing, claims processing, and accounts receivable management within a fast-paced healthcare environment.

Key Responsibilities

• Monitor and manage assigned AR aging to ensure timely collection of outstanding balances.
• Investigate unpaid, underpaid, and delayed claims to identify root causes and secure reimbursement.
• Perform account follow‑up with insurance carriers and patients regarding outstanding balances.
• Track and document collection activities, account status updates, and claim resolutions.
• Maintain department productivity and collection goals.
• Prepare, review, and submit electronic and paper claims accurately and timely.
• Verify claim accuracy, coding edits, payer requirements, and supporting documentation prior to submission.
• Review claim rejections and denials and take appropriate corrective action.
• Research and resolve billing discrepancies, incomplete claims, and payer issues.
• Submit claim corrections, reconsiderations, appeals, and supporting documentation as necessary.
• Ensure compliance with payer‑specific guidelines and healthcare billing regulations.
• Post insurance and patient payments accurately and reconcile discrepancies.
• Research payment variances and coordinate resolutions with internal departments.
• Review explanation of benefits (EOBs) and electronic remittance advice (ERAs).
• Identify trends related to payment delays, denials, and reimbursement issues.

Qualifications

Required

• High School Diploma or GED required.
• 2+ years of healthcare billing, medical claims, accounts receivable, or revenue cycle experience.
• Experience working with commercial, Medicare, Medicaid, and managed care payers.
• Knowledge of claim submission, denial management, and insurance follow‑up procedures.
• Proficiency with Microsoft Office, particularly Excel.
• Strong attention to detail and organizational skills.

Preferred

• Associate's degree in Healthcare Administration, Business, or related field.
• Certified Professional Biller (CPB) or related revenue cycle certification.