Full Cycle Medical Billing
GI Alliance - Glendale, AZ
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Full Cycle Medical Billing Job Details Job Location: AUUA Glendale - Glendale, AZ 85306Position Type: Full TimeJob Shift: Day Description Description Charge Entry Portion: - Post charges daily - Reviews charges for correct coding - Audit codes for potential missed charges - Preparing, reviewing, and transmitting claims using billing EMR - Reconcile missing encounters Prior Auth Portion: - Review EMR chart messaging and review schedules daily for upcoming surgical & in office procedures - Review chart documentations to ensure patient meets medical policy guidelines - Prioritize authorization request according to urgency - Obtain authorization via payer website or by phone and follow up regularly on pending cases - Verify coverage and benefits and calculated any out-of-pocket portions due - Contact patients to review any out-of-pocket portions due prior to surgery AR Follow Up Portion: -Resolve errors and make claim edits assigned in work buckets -Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims -Contact payers and patients when necessary -Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes -Make necessary adjustments to patient demographic, insurance, and account balance information -Complete A/R adjustments where permitted and appropriate: request other adjustments were permitted and appropriate -Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and "leading practices Qualifications Qualifications Requirements - Minimum 1 year charge posting, prior authorization and AR follow up experience - Understanding of payer medical policy guidelines to manage authorizations effectively - Proficient use of CPT and ICD10 codes - Detail oriented and above average organizational skills - Plans and prioritizes to meet deadlines - Ability to multitask and remain focused while managing a high volume, time sensitive workload - Interventional Radiology (IR) experience helpful PI8a5e0ce8e85f-29400-38546339
Created: 2026-02-03