Job: Accounts Receivable Representative - Medical Billing - East Valley

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Posted: 06/04/2018

Job Status: Full Time

Job Reference #: 18-088

Job Description

Do you have advanced knowledge of medical billing and insurance? If so, then we are looking for you!

We are currently searching for an A/R Rep to work in our billing department. This position is based at our Administrative offices in East Mesa (Power Rd./Superstition Springs Blvd off the US 60). The schedule for this position is: 8am-5pm Monday-Friday.


This position provides daily support to the financially related services of our patients, performing daily payment posting of patient’s financial information, and doing the necessary follow-up to receive proper reimbursement for all services rendered. Key to this position is ensuring employee, physician, and patient satisfaction through ongoing open communication.

The incumbents in this position perform all functions according to established policies, procedures, regulatory and accreditation requirements. Adhering to the requirement in the employee handbook as well as adhering to Tri City’s Standards of Behavior is required.


  1. Monitors accounts receivables by utilizing monthly reports to determine payer/self-pay issues in all aging buckets.
  2. Researches all insurance denials and documents all related information to obtain maximum payments utilizing third party vendors (Appeals Plus, etc.).
  3. Explains and discusses TCC’s financial policy to patients, determining patient responsibilities including co-pays, coinsurance, deductibles and time of service payments. Determine payment options for patients unable to pay at time of service.
  4. Handles phone calls from insurance companies and patients regarding payments and balances due.
  5. Assists other departments to ensure accurate insurance information is available in patient charts.
  6. Assists with researching and resubmitting lab denials.
  7. Prepares, processes and posts all credit card transactions, refunds to patients and insurance companies, Mail, Lockbox, and electronic payments and adjustments utilizing our practice management and online vendors (clearinghouse, collection agency, etc.).
  8. Maintains Practice Management File Maintenance of Insurances, Fee Schedules and Contracts.
  9. Monitors and posts all charges for No Shows, EHR Forms, and Return Mail.
  10. Monitors personal account, pre-list patients for collection and works with collection agency on accounts where appropriate.


  • High school diploma or GED.
  • 40 wpm typing
  • Advanced knowledge and understanding of medical billing and/or coding system.
  • Ability to read and interpret CPT and ICD coding books, documents such as EOBs, denials, etc.
  • One year of collections experience.
  • Knowledge of basic computer and math skills.
  • Demonstrated critical thinking ability in order to resolve problems and carry out instructions.
  • Ability to multi task.
  • Excellent verbal communication skills in an effective, clear, calm, friendly and professional manner.
  • Ability to effectively communicate to all internal and external customers.
  • Manages tasks in a timely fashion.
  • Ability to read and interpret documents.


  • Two to five years of experience with insurance companies preferred.

We offer a comprehensive compensation package that includes competitive salaries as well as:

  • Health, Dental & Vision coverage (1st of the month following 60 days of employment!)
  • Company Sponsored Life Insurance
  • Disability Insurance
  • 401(k)
  • PTO (vacation, sick & personal time off)
  • Company Paid Holidays
  • Employee Recognition & Rewards Programs with opportunities to earn gift cards and additional PTO!

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Tri-City Cardiology - Baywood
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Tri-City Cardiology - Scottsdale
Tri-City Cardiology - South Gilbert
Tri-City Cardiology- San Tan Valley