Billing Specialist

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Accurately assess billed medical services to determine approval or rejection

• Recognize complex bills and escalate them to the Claims Adjuster

• Organize and update files as necessary

• Process medical and disability payments for injured contractors and ensure timely check issuance

• Attach the appropriate documentation for check processing and approval

• Monitor mailing numbers for expedited special checks and items

• Keep track of deductibles

• Coordinate benefits

• Manage the Billing-Unresolved document queue as assigned

• Execute special projects as required

• Complete tasks assigned by the Billing Supervisor

• Conduct audits of file payments upon request

• Upload emails, faxes, and mail according to established protocols

• Label items within claim files according to established procedures

• Provide backup support to other Billing Specialists during scheduled absences

• Assist Claim Adjusters under the direction of the Billing Supervisor

• Monitor special instruction banners, policy expiration, primary vs. secondary status, previously paid items, duplicates, medical bill coding reviews, items requiring support, and auditing

• Report directly to the Billing Supervisor

⛳️ Requirements

• Excellent attention to detail

• Strong organizational capabilities

• Exceptional customer service skills

• Ability to be a self-starter and effectively prioritize tasks

• Capacity to work collaboratively within a team

• Strong verbal and written communication skills both internally and externally

• Professional demeanor and presentation while representing our company to vendors

• Analytical and interpretive skills

• Proficiency in Microsoft Office

• Understanding of financial concepts (e.g., checks, claim payment administration, tax IDs, etc.)

• Knowledge of medical billing and health insurance

• Familiarity with the occupational accident policies managed by the company

• Completion of the pre-employment assessment

• Perform additional duties as assigned

🏝️ Benefits

• Medical, dental, and vision insurance

• 401(k) plan with company match

• Paid time off and holidays

• Opportunities for professional development

• A supportive and collaborative workplace

• Necessary resources to perform job functions effectively

• Manageable caseloads