Billing Specialist - Claims
Phoenix, AZ
Full-time
Hybrid
1 month ago
About the role
Job Purpose: Join Denova Collaborative Health as a Billing Specialist focused on Claims, where your expertise in claim processing directly contributes to our mission of providing integrated health services. This crucial role involves managing the entire lifecycle of medical billing claims, enhancing our financial operations, and ensuring the accuracy and compliance of our billing processes.
What You Will Do:
What We Need From You:
Your Work Schedule:
Perks of Being Part of Denova:
Denova Collaborative Health LLC is an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensive virtual care services are available for residents throughout the entire state of Arizona.
We provide a “whole person” approach to health and promote collaboration among our team of primary care providers and specialists. Our unique service integration of primary care, behavioral health, addiction medicine, and wellness enables our team to provide better health outcomes.
What You Will Do:
- Claims Processing: Handle the preparation, review, submission, and follow-up of medical claims accurately and timely across various insurers and payers. Work claim edits and resolve clearinghouse rejections as needed.
- Eligibility and Verification: Verify patient insurance coverage and eligibility to help prevent billing discrepancies.
- Claim Adjustments and Corrections: Address claim denials or discrepancies by making necessary adjustments and corrections to support maximum reimbursement. Ensure proper coding, modifiers, and documentation support. Monitor filing limits and help prevent timely filing issues.
- Reporting: Generate reports detailing billing activities, claim status, and any issues encountered. Identify trends and escalate recurring billing issues as appropriate.
- Collaboration: Work closely with healthcare providers and billing staff to clarify claim details, gather necessary documentation, and help streamline the claims process
- Other Assigned Duties
What We Need From You:
- Educational Background: High school diploma or GED required; additional education in medical billing or a related field is preferred. CPC certification is strongly preferred.
- Experience: At least 2–4 years of experience in medical billing or claims processing.
- Skills: Strong understanding of medical billing codes, insurance regulations, and compliance requirements. Excellent organizational and communication skills. Ability to work independently and resolve issues with minimal oversight.
- Technical Proficiency: Experience with Electronic Health Records (EHR) systems and medical billing software.
- Must be located in Arizona as in office days are required
Your Work Schedule:
- Full-Time: Monday to Friday, 7:30 AM - 4:00 PM
- Flexibility: Transition to hybrid/remote work after training
Perks of Being Part of Denova:
- Comprehensive low-cost medical, dental, and vision insurance.
- Generous retirement plan with a 3.5% company match.
- Secure your future with both long and short-term disability options
- Enjoy holiday pay, PTO, and life insurance benefits.
- We offer an employee wellness program and fantastic discounts for all Denova team members.
- And there's so much more waiting for you!
Denova Collaborative Health LLC is an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensive virtual care services are available for residents throughout the entire state of Arizona.
We provide a “whole person” approach to health and promote collaboration among our team of primary care providers and specialists. Our unique service integration of primary care, behavioral health, addiction medicine, and wellness enables our team to provide better health outcomes.