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Medical Biller III.

Medical Biller III.

Currance IncIrvine, CA, US
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Job Description

Job Description

Description : We are hiring in the following states :

AR, AZ, CA, CO, CT, FL, GA, IA, IL, MN, MO, NC, NJ, NE, NV, OK, PA, SD, TN, TX, VA, WA, WI

This is a remote position .

Hourly Rate : Up to $24.50 / hour based on experience

At Currance, we believe in recognizing the unique skills and experiences that each candidate brings to our team. Our overall compensation package is competitive and is determined by a combination of your experience in the industry and your knowledge of revenue cycle operations. We are committed to offering a rewarding environment that aligns with both individual contributions and our company goals.

Benefits include paid time off, 401(k) plan, health insurance (medical, dental, and vision), life insurance, paid holidays, training and development opportunities, a focus on wellness and support for work-life balance, and more.

Please note that we are looking for people who have hospital billing experience in collections and have some HB billing experience, in high dollar collections, adjustments and denials management.

Job Overview

This role ensures accurate and timely initial payor claim submission and payment by reviewing and correcting claim edits, rejections and rebills. They are expected to have hands-on account resolution, maintaining the highest standards of quality, productivity, and compliance on an individual and team basis. Ability to work claims for multiple clients and systems.

Job Duties and Responsibilities

  • Complete assigned daily work meeting productivity and quality min expectations.
  • Handle claims requiring advanced payer knowledge, contract review, and multi-step resolution processes.
  • Submit claims in accordance with Federal, State, and payer guidelines.
  • Research, analyze, and resolve claim errors and rejections, ensuring accurate corrections are made.
  • Minimize claim denials and returns due to controllable errors by ensuring correct submissions.
  • Stay current with payer updates and process changes for precise claim management.
  • Communicate payer-specific issues to the team and management.
  • Support onboarding new hires if applicable
  • Perform additional assigned tasks as required.

Requirements :

Performance Expectations

  • Productivity : Achieve 115% of the project daily goal.
  • Quality : Achieve 95% monthly quality assurance score.
  • Other expectations : As outlined by the department.
  • Qualifications

  • High school diploma or equivalent required; Associate degree preferred
  • Minimum 3 years of experience in billing initial claims for both hospital and physician (HCFA1500 / UB04) and fixing rejections, holds within the clearinghouse and / or host systems
  • Experience using clearing houses systems such as Waystar, Quadex, SSi or similar platforms for billing.
  • Proficiency in Microsoft Office Suite, Teams, and various desktop applications.
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