We have other current jobs related to this field that you can find below

  • Medical Billing Specialist 2

    3 months ago

    Santa Fe Springs, United States Kain Akeso Medical Holding, LLC Full time

    Job DescriptionJob DescriptionDescription:The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays....

  • Medical Billing Specialist- Ophthalmology

    1 month ago

    Tarpon Springs, United States P.M. Medical Billing Full time

    Job DescriptionJob DescriptionP.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service.We welcome you to join the original and fastest-growing national...

  • Medical Billing and Coding Specialist

    1 week ago

    Colorado Springs, United States Flying Horse Medical Center Part time

    Job DescriptionJob DescriptionAs a biller and coder at Flying Horse Medical Center, you will play a critical role in managing the billing and coding processes for our psychiatric services. The ideal candidate will be proactive, detail-oriented, and possess a strong background in medical billing. You will work closely with our team to ensure accurate and...

  • Medical Billing and Coding Specialist

    4 days ago

    Colorado Springs, United States Flying Horse Medical Center Part time

    Job DescriptionJob DescriptionAs a biller and coder at Flying Horse Medical Center, you will play a critical role in managing the billing and coding processes for our psychiatric services. The ideal candidate will be proactive, detail-oriented, and possess a strong background in medical billing. You will work closely with our team to ensure accurate and...

  • Utility Billing Customer Service Specialist

    3 months ago

    Colorado Springs, United States American Conservation and Billing Solutions Full time

    Job DescriptionJob DescriptionWe are seeking a Utility Billing Customer Service Specialist to join our team! You will be responsible for assisting customers regarding their utility account. Our Utility Billing Department is a fast paced, team oriented environment where we strive to provide top notch customer service on a daily basis. Our team is seeking a...

  • Billing Specialist

    1 week ago

    Santa Fe Springs, United States SUNRISE RESPIRATORY CARE Full time $18 - $23

    Job DescriptionJob DescriptionQualifications• Education or experience equivalent to a high school diploma is required. • At least one year related experience is required. • Must be 18 years of age or older.Responsibilities • Monitor and resolve electronic billing and claims submission.• Performs various collection actions including contacting...

  • Medical Billing AR Specialist

    4 weeks ago

    Santa Ana, United States Vaco Full time

    Vaco Staffing is looking for an AR Specialist to work a remote, contract role. Job Summary: We are seeking a detail-oriented and experienced Accounts Receivable Specialist with a strong background in medical billing and accounts receivable management. The ideal candidate will be proficient in handling medical claims, appeals, denials, and data entry, with a...

  • Medical Billing AR Specialist

    4 weeks ago

    Santa Ana, United States Vaco Full time

    Vaco Staffing is looking for an AR Specialist to work a remote, contract role. Job Summary: We are seeking a detail-oriented and experienced Accounts Receivable Specialist with a strong background in medical billing and accounts receivable management. The ideal candidate will be proficient in handling medical claims, appeals, denials, and data entry, with a...

  • Billing Operations Specialist

    4 days ago

    Colorado Springs, Colorado, United States Laboratory Sciences of AZ Full time

    Billing Operations SpecialistLaboratory Sciences of AZ is looking for a meticulous Billing Operations Specialist to enhance our team. In this role, you will be tasked with managing and overseeing the submission of insurance claims, processing account refunds, making necessary adjustments, and conducting collection activities. You will also engage in...

  • Billing Specialist

    2 weeks ago

    Santa Teresa, United States At Home Personal Care Services Full time $31,200

    Job DescriptionJob DescriptionBilling Specialist Job DescriptionPURPOSE OF THE POSITIONThe Billing Specialist is responsible for providing billing support to ensure that all data provided is input in an effective and efficient manner to ensure that any discrepancies are addressed and corrected.SCOPEBilling Specialist is responsible for providing billing...

  • Medical AR Billing Specialist

    4 weeks ago

    Colorado Springs, United States Gastro Care Partners Full time

    Job DescriptionJob DescriptionJob Summary:The Accounts Receivable Billing Specialist is responsible for supporting the department in maximizing revenue and cash flow by performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly...

  • Billing Specialist

    1 month ago

    Colorado Springs, United States Adventure Learning Behavioral Interventions Full time

    Job DescriptionJob DescriptionBilling SpecialistAdventure Learning Behavioral Interventions is seeking a skilled Biller to join our company. The Biller plays a crucial role in our operations, ensuring seamless financial processes and facilitating the accessibility of ABA, SLP, OT, and other therapy services for our clients. The Biller at Adventure Learning...

  • Billing Specialist

    1 week ago

    California Hot Springs, United States INA Solution Inc Full time

    Job DescriptionJob DescriptionPosition: Billing Assistant Location: CA (Remote) Duration: Contract/Full-Time Experience:E-billing: 2 years (Required)Accounts Receivable: 1 year(Preferred)Legal Billing: 2 years (Required) Skills and Experience:Candidates must have prior relevant experience in e-billing websites. Prior experience with thefollowing preferred:...

  • Billing Specialist

    3 months ago

    Bonita Springs, United States PrideStaff Full time

    Billing Specialist We are excited to share a new opportunity! PrideStaff, a nationally recognized staffing company, has been given an opportunity to assist a top employer in Fort Myers!Shift/Hours: Monday - Friday, 8:00 AM-5:00 PMPay Rate: $25/hr. DOELocation: Bonita Springs, FLExperience: 1 + YearsBilling Specialist Job Duties include:Assists in...

  • Billing Specialist

    9 hours ago

    Colorado Springs, United States MedNow Clinics Full time $19 - $22

    Job DescriptionJob DescriptionJob Summary: MedNOW is looking for an experienced medical biller to work as part of an established and active Billing Department.About MedNOW:MedNOW Clinics is a thriving and growing primary care organization in Colorado committed to delivering high-quality, comprehensive and coordinated care. Founded in 2010, MedNOW now has 12...

  • Billing Specialist

    1 month ago

    Bonita Springs, United States Discovery Senior Living Full time

    Job DescriptionJob DescriptionAbout Discovery Senior LivingDiscovery Senior Living ranks prominently among the 5 largest senior housing providers in the US, and is nationally renowned for designing, developing, marketing, and operating a multi-brand portfolio of upscale, luxury senior-living communities. With over 250 communities in nearly 40 states, and...

  • Healthcare Billing Specialist

    4 days ago

    Santa Ana, California, United States Voala Full time

    VOALAEmpowering Our Most Vulnerable CommunitiesVolunteers of America is a dedicated non-profit organization focused on providing essential human services to individuals in need, enhancing family stability, and fostering community development. VOALA offers a range of social services in the Los Angeles area, including educational programs, veteran support,...

  • Billing Specialist I

    1 month ago

    Santa Cruz, United States Janus of Santa Cruz Full time

    Job DescriptionJob DescriptionDescription:SummaryWe believe the role would place you in a highly energized environment where you would be inspired to share your years of experience along with providing extraordinary support for the team and community. So we commit to hiring top talent and cultivating a culture based on merit. That commitment reflects our...

  • Customer Support Specialist II

    4 days ago

    Santa Fe Springs, California, United States Cogent Infotech Corp Full time

    Job Description:Summary:The primary role of a customer support specialist is to engage with clients to deliver information in response to inquiries regarding products and services, as well as to address and resolve complaints.A typical customer support specialist is tasked with identifying the client's concerns, proposing potential solutions, or providing...

  • Dental Billing Specialist

    2 months ago

    Colorado Springs, United States Comfort Dental - Citadel Crossing Full time

    Job DescriptionJob DescriptionLocation: Colorado Springs, COPosition Type: Full-TimeSalary: $18 - $24 per hour depending on experienceJob Summary: We are seeking a detail-oriented, reliable, and experienced Dental Billing Specialist to join our team. The ideal candidate will be responsible for managing patient billing processes, checking out patients,...

Medical Billing Specialist 2

2 months ago

Santa Fe Springs, United States Kain Akeso Medical Holding, LLC Full time
Job DescriptionJob DescriptionDescription:

The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner.


Essential Duties and Responsibilities

• Reviewing charts and identifying procedures: abstracting and coding patients' charts, utilizing ICDlO, CPT and HCPCS codes classifications with accordance to California Official Medical Fee Schedule.

• Maintains communication with supervisor regarding significant issues or patterns observed regarding denials from insurance companies.

• Communicate with Physicians to ensure documentation is substantiating services perform and it is accompanying with proper dictation.

• Comply with all California Official Medical Fee Schedule Guidelines.

• Re billing any corrected denials and rejections

• Obtains claim numbers and adjuster contact information promptly and updates medical records.

• Accurately routes bills to either the employer or WC carrier.

• Communicates effectively with carriers and adjusters to submit necessary documentation for payment of claim.

• Review physician's documentation and perform audits to determine accuracy and gaps.

• Responsible for documenting all correspondence with insurance, client, and / or insurance to record.

• Comply with all applicable HIPAA policies and procedures.

• Prepares and sends CMSlS00 and Medical Record to insurance.

• Verify completeness and accuracy of all chart documents and orders prior to submission.

• Follow-up with Physicians to assure completion of all chart documents in a timely manner.

• Collaborate with other departments to obtain and analyze additional information about patients to be able to record and process billing effectively.

• Assists with assigned projects that pertain to billing under the direction of the Billing and Collections Manger.

Requirements:



• ExceIlent customer service skills.

• Problem-solving skills.

• Detail oriented and thorough.

• Strong written and verbal communication skills.

• Ability to collaborate with all levels within the organization.

• Ethical conduct.

• Ability to deal professionally, courteously, and efficiently with internal and external customers.

• Ability to work various shifts and overtime if needed.

• Knowledge of all confidentiality requirements regarding patients and strict maintenance of proper confidentiality on all such information.

• Knowledge of medical terminology, spelling, and office ethics.


Experience

• Minimum of 5 years' experience in coding/billing or in workers compensation bill review.

• Must have experience in billing with claim follow ups, checking the status for unpaid claims, submitting corrected claims, and filing appeals.

• Expert knowledge of ICD-lO and CPT codes.

• Knowledge of Medical terminology.

• Experience in Worker's Comp.

• Knowledge of basic office equipment such as scanners, electronic faxing, iPad, copy machines, etc.


NOTE: This job description may not include all the duties assigned to the employee and may be updated and modified by the department supervisor, according to the operations at any given time.


The base salary is determined on the candidate's education, qualifications, and experience, and is subject to change based on various internal and external factors.

Akeso is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.