Schedule:  hybrid (2 days in office and 3 days remote) after 30 days of in person training 

Community Medical Services (CMS) is hiring a Medical Biller that will be responsible for performing all aspects of billing functions including identifying and resolving complex claims issues adversely impacting the revenue cycle management process and achieve resolution through coordination, reconciliation and denied claim management. This role will ensure proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement including projects, problem and issues escalation, A/R management and research.

As you join our mission to help those suffering from substance use disorders reclaim their lives, expect to thrive in a comfortable, welcoming, and fun environment where you are valued for the work you do, championed by passionate leaders, and equipped with the tools and ongoing training you need to achieve your goals.  

Along the way, we’ll invest in your well-being through a benefits package for full-time employees that includes:

• Subsidized medical, dental, and vision insurance
• Health savings account
• Short and long-term disability insurance
• Life insurance
• Paid sick, vacation, and holiday time
• 401K retirement plan with match
• Tuition and CME reimbursement up to 100%
• Employee assistance program to support your mental health and wellness
• Ongoing professional development 

Responsibilities:

• Timely submission of clean electronic claims
• Follow up on unpaid claims
• Data entry and patient demographics verification.
• Posting of insurance and patient payments.
• Managing denials and claims resubmission
• Aging and follow up.
• Communication with insurance companies.
• Appeals
• Secondary claims
• Patient statements and Superbill Request

Qualifications:

Education, Certification and Experience Requirements:

• Ability to process multiple payers AR in multiple states
• Ability to analyze high volume claims for resubmission or final adjudication
• High School diploma or equivalent is required, some college coursework in billing/collections, business administration, or accounting preferred
• 2 years minimum of experience as a medical biller or in collections
• Experience working with ICD-10, HCPCS and CPT Codes
• Working knowledge of medical insurance & medical terminology
• Working knowledge of private practice billing
• Good understanding of Medicaid, Medicare, Commercial and Veterans Administration Plans 
• Strong organization skills
• Strong skills on the compute
• Ability to analyze financials and make presentations to providers
• Good team building skills
• Strong billing experience in EMR
• Proficiency in all Microsoft Application

Physical Working Conditions and Office Setting Description

• Requires sitting and standing associated with a normal office environment.
• Manual dexterity using an office base calculator and computer keyboard.
• Requires prolonged sitting, standing, frequent bending, stooping, or stretching.
• Some lifting may be required.
• Frequent and prolonged typing and frequent and prolonged operation of computer, keyboard, and telephones required.
• Requires occasional use of fax machines, telephones, copiers, and other office equipment.
• Mailing claims to payer

#CRPSF

About Community Medical Services

Community Medical Services (CMS) is a CARF-accredited addiction treatment program providing services in the form of outpatient medication-assisted treatment and one-on-one and group counseling to those seeking help with their opioid use disorder. Headquartered in Arizona with more than 70 treatment clinics in eleven states, CMS is dedicated to meeting the challenges presented by the growing opioid epidemic in communities where treatment is lacking.

Our Commitment

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Other Conditions

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.