Medical Billing Specialist 2

4 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.

  • Medical Billing Specialist- Ophthalmology

    2 months 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 Specialist

    3 days ago

    Santa Maria, California, United States Community Health Centers of the Central Coast Full time

    Job Title: Medical Billing SpecialistCommunity Health Centers of the Central Coast is seeking a highly organized and detail-oriented Medical Billing Specialist to join our team.Job Summary:The Medical Billing Specialist will be responsible for preparing and posting fee tickets for various sites and programs, as well as handling all incoming billing calls....

  • Medical Billing and Coding Specialist

    3 weeks 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 weeks 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 Specialist

    2 weeks ago

    Santa Clara, California, United States Berman Skin Institute Full time

    Job SummaryBerman Skin Institute is seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team in our Santa Clara office. As a Medical Billing Specialist, you will play a critical role in ensuring the accuracy and efficiency of our billing processes, working closely with our clinical and administrative teams to deliver...

  • Medical Billing Specialist

    2 weeks ago

    Colorado Springs, Colorado, United States MedNow Clinics Full time

    Job Title: Medical Billing SpecialistAbout MedNOW Clinics: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 locations and approximately 50 medical providers, 160 employees and 40,000 patients under our care. We strive to...

  • Billing Specialist

    4 weeks 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...

  • Healthcare Billing and Accounts Receivable Expert

    3 weeks ago

    Hot Springs National Park, Arkansas, United States STAT Medical Billing Full time

    Job OverviewPosition: Full TimeSchedule: Monday to Friday, 8 AM - 4:30 PMWe are seeking a dedicated professional with experience in medical billing. Candidates without prior experience in this field will not be considered.As a reputable third-party billing organization, we cater to a diverse clientele, including Podiatry, Family Practice, and Clinical...

  • Billing Operations Specialist

    3 weeks 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...

  • Medical Billing Specialist

    3 weeks ago

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

    Billing and Reimbursement AnalystLaboratory Sciences of AZ is looking for a meticulous Billing and Reimbursement Analyst to enhance our operations. In this role, you will oversee the submission of insurance claims, manage account refunds, adjustments, and collection processes. You will also engage in evaluating billing standards and reimbursement rates,...

  • Billing Specialist

    1 month 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 Billing Specialist

    2 weeks ago

    Tarpon Springs, Florida, United States St. Luke's Cataract & Laser Institute Full time

    About the PositionThe Medical Billing Specialist reporting to the Revenue Cycle Manager is responsible for providing exceptional customer service to patients and their families, addressing their inquiries and concerns regarding medical bills and financial obligations.Key ResponsibilitiesMaintain a positive, empathetic, and professional attitude towards...

  • Billing Specialist

    4 weeks 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

    2 months 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...

  • Medical Billing Specialist

    3 weeks ago

    Tarpon Springs, Florida, United States St. Luke's Cataract & Laser Institute Full time

    About the PositionThe Medical Billing Specialist reporting to the Revenue Cycle Manager is responsible for providing exceptional customer service to patients by answering their questions and resolving any potential billing issues in a timely and professional manner.The ideal candidate will be comfortable working in a team environment and possess strong...

  • Medical Billing Specialist

    3 weeks ago

    Tarpon Springs, Florida, United States St. Luke's Cataract & Laser Institute Full time

    Job Summary:The Medical Billing Specialist - Patient Advocate will be responsible for providing exceptional customer service to patients and their families, ensuring a positive experience throughout the billing process. This role requires strong communication and problem-solving skills, with a focus on resolving billing issues and answering patient...

  • Medical Assistant

    2 weeks ago

    Colorado Springs, Colorado, United States Harrison School District 2 Full time

    Job SummaryWe are seeking a skilled and compassionate Healthcare Support Specialist to join our team at Harrison School District 2. As a key member of our healthcare team, you will provide essential medical care and support to students and staff.Key ResponsibilitiesAssess and Administer Medical Care: Assess, evaluate, and administer basic and advanced first...

  • Patient Billing Specialist

    2 weeks ago

    Box Springs, Georgia, United States Infinity Technologies Full time

    About Infinity TechnologiesWe are a leading provider of innovative healthcare solutions, dedicated to delivering exceptional patient care and financial management services.Job SummaryWe are seeking a highly skilled Patient Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely...

  • Medical Specialist

    1 day ago

    Santa Fe Springs, California, United States SilverWorks Full time

    Join Our Team as a Specialist in Internal MedicineAkut Doc is a leading recruitment agency for medical professionals, and we're looking for a skilled Specialist in Internal Medicine to join our team. As a specialist in internal medicine, you will be responsible for providing high-quality medical care to our patients.Key Responsibilities:Recognition as a...

  • Billing Specialist

    3 weeks 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...