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Medical Collections Specialist

2 months ago


Newport Beach, United States Marquee Staffing - Healthcare Full time
Job DescriptionJob Description

Description:
We are seeking an experienced Medical Biller/Collector to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.

Duties:

  • Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
  • Follow up with payers (HMO, PPO, Medicare, Medi-Cal, TriCare, Work Comp) on unpaid or denied claims and resubmit as necessary.
  • Process payments from insurance companies and patients.
  • Maintain accurate and up-to-date patient billing records.
  • Answer patient inquiries regarding billing and insurance coverage.
  • Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
  • Write and submit appeals to insurance companies, as needed.

Experience:

  • Minimum of 2 years of experience in medical revenue cycle management, including collections experience.
  • MUST have experience using NextGen EHR.
  • Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
  • Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
  • Expertise with HMO, Medi-Cal, or Medicare is a plus.

Note: This is not an entry-level position. Prior experience in medical billing/collections is required.

Schedule: Monday to Friday; flexible hours (7:00 am - 3:30 pm, 7:30 am - 4:00 pm, or 8:00 am - 4:30 pm)

Benefits:

  • Health insurance coverage
  • Retirement plan options with match
  • Generous Paid Time Off (PTO) and paid holidays
Company DescriptionMarquee Staffing has built a reputation on expert local market knowledge, unparalleled personalized service and the ability to deliver winning candidates and job opportunities.

Marquee operates offices located conveniently throughout Southern California. Each branch is full-service, providing temporary, contract, contract-to-hire and direct placement services for a diverse set of clients. Each branch has recruiters who specialize in key industries, ensuring that our clients get the best match possible for each open position and that our candidates get expert guidance in their career path.
Apply with usCompany DescriptionMarquee Staffing has built a reputation on expert local market knowledge, unparalleled personalized service and the ability to deliver winning candidates and job opportunities.\r
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Marquee operates offices located conveniently throughout Southern California. Each branch is full-service, providing temporary, contract, contract-to-hire and direct placement services for a diverse set of clients. Each branch has recruiters who specialize in key industries, ensuring that our clients get the best match possible for each open position and that our candidates get expert guidance in their career path.\r
Apply with us