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Medical Biller

Medical Biller

IMCS GroupBaldwin Park, CA, United States
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Job Title : Medical Biller

Request-ID : 3940-1

Duration : 6 months Contract

Location : Onsite- 4900 Rivergrade Rd, Irwindale, CA 91706, United States

Shift Type : 8 am to 5 pm PST

Job Duties :

  • Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
  • Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
  • Ensures all conditions for payment receipt have been satisfied, which includes but not limited to :

o Accurate charges

o Patient insurance eligibility

o Accurate financial class

o Patient benefit coverage

o Authorization / certification / TAR information

o Patient responsibilities

o Claims address

o CPT coding, as applicable

o ICD-9 coding, as applicable

  • Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.
  • Interacts with co-workers and other representatives to obtain required information on a timely basis.
  • Initiates contact with patient’s as necessary
  • Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.
  • When required, submits bills to insurance for secondary insurance.
  • Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.
  • Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.
  • Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.
  • Clearly document within the patient’s account, based on internal policies and procedures.
  • Demonstrates teamwork and provides assistance with special projects when assigned.

    • Minimum Education :

    High school diploma or equivalent

    Minimum Experience :

  • Minimum three (3) to five (5) years’ experience performing medical functions.
  • Minimum experience including corresponding with patients and insurance companies in resolving patient accounts.
  • Extensive knowledge of insurance carrier procedures.
  • Experience with reading Explanation of Benefits (EOB) statements.
  • Proven ability to handle multiple conflicting tasks.

    • Software :

  • Experience with on-line practice management system.
  • Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.).
  • Type 35+ wpm required
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    Medical Biller • Baldwin Park, CA, United States

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