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Medical Billing Specialist
3 months ago
We are seeking a healthcare professional who is passionate about quality care and making a difference in our patient's lives.
Why Join the Team?Competitive CompensationGenerous Health Insurance Coverage:
Medical & DentalRetirement Plan
- Dollar for Dollar matchPaid Vacation AccrualsPaid HolidaysPaid training Work alongside extremely talented, highly specialized doctorsExcellent Work life BalanceSummary The Medical Billing Specialist oversees billing processes and serves as a point of contact for providers, patients, staff, IPA's and insurance companies.
They are expected to have a deep understanding of and an accurate ability to manage claim data, processes, and protocols.
Participates in ensuring a healthy revenue cycle at all steps of the process.Essential Duties and Responsibilities Oversee automated billing processes within billing software, including managing remittance and postings, follow-up on denials, correcting claims within hold status, and reviewing accounts receivable, aging, and collections reports.
following:
Submits paper claims to payers that do not accept electronic signature format.
Submits tertiary claims Submits to billing service paper EOBs from payers as needed Submits documentation to billing service as needed for appeals.
Submits timely claims after provider encounters, reviews documentation, coding, authorization, and insurance eligibility before submissions Performs regular reconciliation and correction of remittance records, missing slips, and other billing tasks Performs regular billing of no-shows, inpatient encounters, and non-face-to-face encounters Preferred Education and Experience Graduated from an accredited Billing Program Certified Coding Specialist preferred Three or more years of experience in medical billing or revenue cycle management Knowledge of Medicare, Medi-Cal, Tricare, managed care plans, HMOs, and PPOs Knowledge of insurance company billing rules and requirements Billing software experience preferred Special Conditions of Employment Furnish proof of COVID-19 vaccination Knowledge Skills and Abilities Bilingual English/Spanish preferred.
Excellent oral and written communication skills. Knowledge of some medical terminology, ICD-9, CPT, H.C.P.C.S codes. Proficient in the use of a computer Ability to multi-task and work independently, accurately, and with minimum supervision. Excellent customer service skills. Accuracy of work with close attention to detail and neatness. Effective interpersonal skills. Schedule8-hour shiftMonday- Friday Compensation: $ $26.
The Neuron Clinic is committed to state-of-the-art clinical excellence, to partnership and collaboration with other treating health care providers to ensure continuity of care, to utilization of data to individually tailor services for continual improvement in outcomes, and to empowering patients to make informed choices and help them achieve their goals.
This is offered in a compassionate and safe environment that provides education, support, and best practices in integrated care.Our multiple locations serve the communities of Temecula, Murrieta, Menefee, Hemet Fallbrook, Escondido, San Marcos, Vista, Poway, Chula Vista, National City, San Diego, South-bay and surrounding areas.
