Tempe, AZ | Full-Time | In-Office

Are you detail-oriented, analytical, and motivated by solving complex billing and payment challenges? Do you enjoy seeing the direct impact of your work on an organization’s financial health?

Arizona Home Care is seeking a Billing & Collections Specialist to support our pharmacy billing and commercial accounts receivable operations. In this role, you will be responsible for both billing pharmacy claims and managing associated accounts receivable, including resolving denials and proactively working with payors to ensure timely and accurate reimbursement.

This position is well suited for someone who thrives in a deadline-driven environment, values accuracy and compliance, and takes pride in following accounts through to resolution.

• Full-time, in-office position
• Monday - Friday, 8:00 AM – 4:30 PM

• Competitive compensation package
• Medical, dental, vision & life insurance
• Pet insurance
• 401(k)
• Generous PTO + paid holidays
• Free CEUs to support your professional growth
• A fully stocked kitchen with coffee, snacks, and more
• Stable, supportive office environment
• Locally owned, mission-driven organization

Arizona Home Care is a locally owned provider of home health, home infusion, and nuclear pharmacy services serving the Valley for more than 30 years. We’re known for our strong clinical standards, supportive culture, and commitment to improving the health and quality of life of the people in our community. Our team values compassion, integrity, excellence, and doing the right thing for every patient, every time

Position Summary:

The Billing & Collections Specialist is responsible for the accurate and timely billing and collection of pharmacy claims and assigned accounts receivable, including commercial, Medicare, Medicaid, and managed care payors.

This role performs ongoing account maintenance, submits and follows pharmacy claims through payment, documents all billing and collection activity, resolves denials, and maintains accurate aging and reporting. The Billing & Collections Specialist ensures compliance with all applicable local, state, and federal regulations, as well as accrediting body standards, while demonstrating professionalism, confidentiality, strong organizational skills, and excellent customer service.

Key Responsibilities:

• Submit accurate and timely pharmacy claims to commercial, Medicare, Medicaid, and managed care payors
• Review billing details to ensure completeness and compliance prior to claim submission
• Manage and collect assigned pharmacy commercial accounts
• Run aged trial balance and AR reports to evaluate account status
• Perform proactive follow-up on outstanding balances
• Resolve insurance denials in a timely manner
• Respond to correspondence and make status calls to insurance carriers
• Maintain detailed and accurate billing and collection notes in the AR system
• Track and update account status codes
• Submit medical reviews, appeals, and fair hearings when appropriate
• Perform insurance verifications as needed to support billing and collections

• Maintain accurate and timely accounts receivable reporting
• Calculate Days Sales Outstanding (DSO) and over-90-day delinquency percentages weekly
• Track billings, expected revenue, and delinquency trends by payor source
• Establish and work toward monthly collection targets
• Actively manage and document all AR balances 31 days and greater

• Document all account communications and activities accurately and timely
• Maintain confidentiality of patient, payor, and company information per HIPAA
• Ensure billing and collection practices meet regulatory and contractual standards

• Set daily priorities to meet deadlines and workload expectations
• Participate in meetings, trainings, and quality initiatives
• Support revenue cycle operations as assigned

• Previous billing, collections, or accounts receivable experience
• Healthcare, pharmacy, or medical billing experience strongly preferred
• High school diploma or equivalent
• Ability to pass background check
• Strong attention to detail and organizational skills
• Ability to manage multiple priorities and meet deadlines