Medical Biller Job at PHOENIX FAMILY MEDICAL CARE PLLC in Phoenix

Position Summary: The Medical Biller is responsible for managing the full revenue cycle for a small, fast‑paced family practice. This role ensures accurate claim submission, timely payment posting, denial management, and patient billing. The ideal candidate is detail‑oriented, reliable, and able to work independently while maintaining strict compliance with payer rules and practice policies.

Key Responsibilities: Claims & Billing Prepare, review, and submit clean claims to insurance carriers (electronic and paper).Verify coding accuracy and ensure all required documentation is present before submission. Correct and resubmit rejected or denied claims promptly. Maintain up‑to‑date knowledge of CPT, ICD‑10, and payer‑specific billing guidelines. Payment Posting & Reconciliation Post insurance and patient payments accurately into the practice management system. Reconcile daily deposits, EOBs, ERAs, and patient payments. Identify and resolve payment discrepancies, underpayments, and missing remittances. Accounts Receivable Management Monitor aging reports and follow up on unpaid claims. Initiate appeals with supporting documentation when appropriate. Communicate with insurance companies to resolve claim issues. Track and document all outreach, follow‑ups, and payer responses. Patient Billing & Communication Generate patient statements and manage patient balances. Assist patients with billing questions in a professional, courteous manner. Set up payment plans according to practice policy. Maintain confidentiality and adhere to HIPAA at all times. Compliance & Administrative Support Ensure billing practices comply with federal, state, and payer regulations. Maintain accurate, organized billing records for audits and reporting. Collaborate with front desk and clinical staff to resolve documentation or eligibility issues. Participate in workflow improvements and periodic billing reviews.

Qualifications: Minimum 2 years of medical billing experience (family practice or primary care preferred).Strong understanding of CPT, ICD‑10, and insurance billing requirements. Experience with claim submission portals, clearinghouses, and EMR/PM systems. Excellent attention to detail, accuracy, and follow‑through. Strong communication and problem‑solving skills. Ability to work independently in a small office environment. Knowledge of Medicare, Medicaid (AHCCCS), and commercial payer rules. Work Environment Small, supportive family practice with direct communication between billing, front desk, and clinical staff. In‑house position requiring confidentiality, professionalism, and consistent workflow management.