Medical Biller

Our client is a fast-growing organization that provides patients with a modern solution for urgent medical treatment and routine healthcare to improve their quality of life.

They are seeking a Medical Billing & Back Office Specialist who lives their core values of being caring, knowledgeable, and exceptional with a passion for serving our patients.

This leader will exude positivity and demonstrate operational excellence, ownership of their business, and the expertise to act with a sense of urgency.

Our team members deliver an impeccable patient experience and treat everyone like family. The Medical Billing & Back Office Specialist will be a trusted team member providing care to our patients and a trusted partner to the clinical team, center staff, and the Executive Leadership team.

Location : Huntington Beach, CA

Job Type : Full-time

Salary : $18-25 / hour

Duties and Responsibilities

• Review clinical documentation to ensure support for codes billed.
• Edit appropriate modifier usage & diagnosis codes for accurate claims submission.
• Reviews all rejected claims for corrections.
• Applying patient payments to claims created.
• Position Purpose : To process medical billing claims, collect patient or provider payments, resolve questions and problems with a customer’s account, process patient refunds, appeals to include re-determinations and resubmissions of billing to patient payers.
• Process medical data relevant to medical billing, charge entries, payment posting and update the electronic medical records system.
• Review rejected claims and taking necessary steps to finalize claim, to include reverification of insurance, obtaining prior authorizations, contacting Payor, physician offices & patients.
• Ensure copay's are collected or billed to appropriate Payor.
• Answer inbound billing phone calls as needed.
• Maintain confidentiality of all patient and financial information.
• Prepare various reports in Excel as instructed by Supervisors.
• Verify entered data by reviewing, correcting, deleting, or reentering data, combining data from multiple systems.
• Fulfill targets with diligence and responsibility.
• Manage Email and phone communication with clients and team members.
• Maintain operations by following compliance policies and procedures; reporting needed changes.
• Maintain customer confidence and protects operations by keeping information confidential.
• Contribute to team effort by accomplishing related results as needed.
• Exhibit professional excellence, teamwork and integrity.
• Performs other duties and tasks as assigned, depending on work schedules and priorities.

Minimum Qualifications

• Minimum Experience : 2 years experience in medical billing, specifically charge entry and payment posting.
• Experience Plus : Knowledge of electronic medical records systems and experience in processing.
• When information is incomplete; purging files to eliminate duplication of data.
• The ability to effectively multi-task is a must.
• Knowledge of medical referrals, medical eligibility checks, and document management.
• Knowledge of reimbursement guidelines, CPT and ICD-10codes, payor contracts and plans.
• Must have good computer / typing skills.
• Need good documentation skills.
• Should have a strong understanding of Microsoft Excel, Word, and Email systems.
• Should have good command over spoken and written English.
• Attention to detail and research expertise.
• A good team member with highly effective communication skills.
• Must have research skills on the Internet.
• experience, skills, proficiency in English, and sincerity at work.
• Must be eligible to work in the USA.

Education

High School graduation is required, and Medical Billing certification preferred we care more about your experience, skills, proficiency in English and sincerity at work.

Benefits

• Compensation will be based on Experience.
• Benefits include Health, Vacation, Dental, Vision, and 401K, Life, and Profit Sharing will be available after trial period and assessment.
9 days ago