Medical Biller / Collector
IMCS GroupBaldwin Park, CA, United Statesjob_description.job_card.1_day_ago
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job_description.job_card.job_descriptionDemonstrated knowledge of claims review and analysis; ICD-10, CPT, and HCPCS coding; and medical Terminology Effective communication, leadership, organizational, and problem-solving skills Ability to manage multiple tasks and projects simultaneously Ability to analyze data, identify improvement, and implement change Demonstrated written and verbal communication skills. Ability to plan and carry out responsibilities with minor supervision Excellent verbal and written communication skills Excellent interpersonal skills with customer service focus Minimum of 2 - 7 years of experience performing medical billing functions. Minimum experience includes corresponding with insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures, including Medicare, Medi-Cal and other third-party payors. Experience with reading Explanations of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks
Job Title : Medical Biller / Collector III
Duration : 06 months Contract
Location : 4900 Rivergrade Road, Irwindale, CA 91706
Shift Type : 8am – 5pm M-F
pay range : $20 - 28 / hr. (Pay range depending on the experience)
Responsibilities :
- Generates monthly work files for staff based on monthly review of volume and internal policies and procedures or as needed.
- Facilitates communications with payers to address outstanding claims, denials, or remits to resolve payment variances, and works to develop and maintain positive relationships with payers.
- Initiates communications with providers to address any outstanding issues impacting revenue; makes recommendations for resolving and / or improving the flow of data and maximizing charge capture.
- Reviews denial reason codes and underpayments to identify root causes; works with payer contracting and other areas of the revenue cycle if necessary to resolve issues.
- Analyzes data to track and identify trends and provides team with updates and ideas for improvement.
- Assists staff in identifying high-risk accounts and prioritizing resolution efforts; Ensures staff is researching high dollar accounts, high volume denials, credits, adjustments, and undistributed balances, etc. in adherence to internal policies and procedures.
- Maintains superior understanding of CPT / HCPCS codes, ICD-10 codes, CMS 1500 form guidelines, eligibility and coverage requirements, remit and remark codes, payor / plan codes, claims management, third-party payer guidelines, state and federal regulations, claims clearinghouse workflow, and all other pertinent functions of the job.
- Has thorough knowledge of managed care contracts, DOFRs, reimbursement rates, and other billing requirements mandated by said agreements with payors.
- Collaborates with other departments to identify best-practice strategies, align goals, and improve collections.
- Ensures staff is working work queues in adherence to internal policies and procedures.
- Ensures that all necessary documentation and information is correct according to divisional policies and procedures for approval of charge corrections and refunds.
Skills :
Experience
Education / Experience :
High school diploma or equivalent
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Medical • Baldwin Park, CA, United States