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Medical Biller

3 months ago

Huntington Beach, United States HirefinderRPO Full time

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.