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Full-time
high school, associate degree, bachelor degree, professional certificate
Medical Insurance, Dental Insurance, Vision Insurance, Retirement Plan With Company Match, Long-term Disability, Short-term Disability
Posted 28d ago
~40 hrs/week
Responsibilities
Manage complex, high-dollar medical claims and resolve escalated billing issues to maximize reimbursement. Analyze claim rejection trends to recommend process improvements and provide mentorship to the billing team.
Requirements
Requires a High School Diploma and at least three years of healthcare revenue cycle or medical billing experience. Professional certifications such as CPC or CRCR are strongly preferred.
Full job description
Job Purpose:Join Denova Collaborative Health as a Senior Billing Specialist, where your expertise in complex medical billing and revenue cycle operations helps ensure clean, compliant claims and maximizes reimbursement. In this advanced role, you will take ownership of high-dollar and complex claims, identify root causes of recurring billing issues, recommend process improvements, and serve as a resource for the billing team. Your knowledge and leadership will directly support our mission of delivering integrated, whole-person healthcare while strengthening the efficiency and quality of our revenue cycle.
This position is non-exempt and will report to the RCM System & Solution Mgr
What You Will Do:
Complex Claim Ownership
Complex Claim Ownership
Manage complex, high-dollar, and aged claims that require advanced billing knowledge.
Resolve escalated clearinghouse rejections, payer-specific edits, and coordination of benefits (COB) claim issues.
Process corrected claims and rebill complex claim types while ensuring timely filing compliance.
Handle specialized billing scenarios including split claims, interim bills, and secondary and tertiary payer submissions.
Edit Analysis & Process Improvement
Analyze recurring claim edits and rejection trends to identify root causes across payers and claim types.
Recommend scrub-rule and edit-logic improvements in collaboration with Business Systems Support.
Validate the effectiveness of scrub-rule updates before implementation.
Document findings, trends, and financial impact to support continuous process improvement.
Team Support & Collaboration
Serve as a subject matter expert for Billing Representatives by providing guidance on payer rules, coding, modifiers, and claim edits.
Support onboarding and mentor newer team members through informal coaching and knowledge sharing.
Maintain and update departmental billing procedures, workflows, and job aids.
Collaborate with leadership and cross-functional teams to improve billing accuracy and operational efficiency.
Additional Responsibilities
Meet advanced productivity and quality standards while managing complex work.
Participate in and help lead process improvement initiatives.
Perform other related duties as assigned.
What We Need From You:
Education
High School Diploma or GED required.
Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
Certified Professional Coder (CPC) strongly preferred.
HFMA CRCR certification or other relevant healthcare revenue cycle certification is preferred.
Experience
Three or more years of healthcare revenue cycle, medical billing, or claims management experience with demonstrated accuracy and strong performance.
Experience with Electronic Health Records (EHR) and practice management systems, preferably AMD.
Skills & Knowledge
Advanced knowledge of medical billing, insurance claims, CPT, HCPCS, ICD-10 coding, payer regulations, and reimbursement processes.
Strong analytical and problem-solving skills with the ability to resolve complex billing issues.
Ability to identify process improvement opportunities and recommend effective solutions.
Excellent organizational, communication, and leadership skills.
Ability to mentor team members while working independently on advanced assignments.
Commitment to maintaining HIPAA compliance and protecting patient information.
Must be located in Arizona.
What Success Looks Like:
Our Senior Billing Specialists lead by example through accuracy, collaboration, and continuous improvement. Success in this role includes:
Achieving a 95% or higher clean claim first-pass acceptance rate on complex claims.
Meeting advanced productivity expectations while maintaining exceptional quality.
Resolving escalated claims within established service standards.
Identifying and documenting root-cause trends that improve claim quality and reduce denials.
Supporting the growth and success of the billing team through mentorship and process improvements.
Your Work Schedule:
Monday to Friday, 8 AM - 4:30 PM (Flexible)
Location: Denova Collaborative Health LLC - DHQ (Hybrid Work Model after 90 days)
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!
Our Revenue Cycle Mission Our Revenue Cycle team removes friction from the financial side of healthcare so our clinicians can focus on care and our patients can focus on healing.
We succeed when claims go out clean the first time, payments are posted quickly and accurately, denials are prevented, patients understand their responsibility, and team members feel supported. At Denova, we believe: people first, process second, technology third.
Denova Collaborative Health LLCis an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensivevirtual care servicesare 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, addictionmedicine, and wellness enables our team to provide better health outcomes.
Related keywords
Medical BillingRevenue Cycle ManagementCPCCRCRICD-10CPTHCPCSAMDEHRHIPAAClaims ManagementPayer RulesClean ClaimsHealthcare AdministrationReimbursementCoordination Of Benefits
How many Healthcare jobs are open in Phoenix, AZ right now?
There are currently 3,285 open healthcare positions in Phoenix, AZ listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Phoenix, AZ?
Companies currently hiring include Mayo Clinic, Banner Health, HonorHealth, St. Joseph's Hospital and Medical Center, Tenet Healthcare, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Phoenix, AZ?
Yes — 347 of the 3285 open healthcare positions offer remote or hybrid work (153 remote, 194 hybrid).
How do I apply for Healthcare jobs in Phoenix, AZ?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.