Sunset Health ยท 3 days ago
Billing Specialist
Yuma, Arizona, United States
Full-time
Onsite
New Grad, Entry Level
$19.28/hr - $19.28/hrSunset Health is a healthcare provider seeking a Billing Specialist to manage billing processes and ensure accurate payment collection. The role involves auditing bills, submitting claims, maintaining patient account information, and supporting team training and compliance with policies.
Health CareHospitalMedical
Responsibilities
Utilizes Nextgen PM and dedicated portals for payment processing, claim submission and claim edits
Assures appropriate cash flow into the company by auditing bills for completeness and corrections upon billing and posting of medical claims
Submits bills and posts payments in a timely fashion to the appropriate payers. Performs follow up on accounts to ensure that payment is received
Maintains accurate information on patient accounts and payer balances. Reviews accounts to make sure payments are being posted appropriately and that charges have been posted accurately
Works account aging
Arranged payment plans with patients
Support with pharmacy payments reconciliations, lab invoices, hospital invoices, etc
Perform account reconciliations, restructures, and cash application investigations
Supports with chart audits
Processes payments in person and over the phone and settle payment agreements
Processes insurance and patient credits and refunds
Provides patients with Good Faith Estimate (GFE)
Works with the Billing Supervisor to ensure that all goals are being met and that accounts are being resolved in timely manner
Works with the Billing Supervisor to ensure that team members are being trained fully and that they understand the way the department functions. Serves as a mentor to other team members as needed
Works with front office and location cashiers to ensure that they are performing their jobs in the most effective way for billing purposes. Assists with training and implementation of new processes for all clinic staff when needed
Contributes to team efforts by accomplishing results as needed and complying with all facility policies and procedures. Including but not limited to policies and procedures addressing HIPAA and Compliance. Encourages other team members to do the same
Assist with other billing department projects and activities as assigned by AR & Billing Manager and Billing Supervisor
Qualification
Required
Utilizes Nextgen PM and dedicated portals for payment processing, claim submission and claim edits
Assures appropriate cash flow into the company by auditing bills for completeness and corrections upon billing and posting of medical claims
Submits bills and posts payments in a timely fashion to the appropriate payers
Performs follow up on accounts to ensure that payment is received
Maintains accurate information on patient accounts and payer balances
Reviews accounts to make sure payments are being posted appropriately and that charges have been posted accurately
Works account aging
Arranged payment plans with patients
Support with pharmacy payments reconciliations, lab invoices, hospital invoices, etc
Perform account reconciliations, restructures, and cash application investigations
Supports with chart audits
Processes payments in person and over the phone and settle payment agreements
Processes insurance and patient credits and refunds
Provides patients with Good Faith Estimate (GFE)
Works with the Billing Supervisor to ensure that all goals are being met and that accounts are being resolved in timely manner
Works with the Billing Supervisor to ensure that team members are being trained fully and that they understand the way the department functions
Serves as a mentor to other team members as needed
Works with front office and location cashiers to ensure that they are performing their jobs in the most effective way for billing purposes
Assists with training and implementation of new processes for all clinic staff when needed
Contributes to team efforts by accomplishing results as needed and complying with all facility policies and procedures
Including but not limited to policies and procedures addressing HIPAA and Compliance
Encourages other team members to do the same
Assist with other billing department projects and activities as assigned by AR & Billing Manager and Billing Supervisor
Company
Sunset Health
Sunset Health is a healthcare center that provides comprehensive primary and preventive medical and support services.
Founded in 1972
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Oscar Franco, MIS/BA, MHA
Chief Information Officer
Company data provided by crunchbase