Medical Biller and Collector Specialist

4 weeks ago


Pasadena, United States Certified Healthcare Billing Full time

**Company Overview**:
Certified Healthcare Billing has been a fixture in the medical billing industry for over a decade. The company was founded by a group of experienced medical billers who saw a need for a billing company that could provide exceptional service to healthcare providers of all sizes. Over the years, Certified Healthcare Billing Services has grown steadily, building a reputation for its expertise, efficiency, and dedication to its clients. CHB is seeking a detail-oriented and experienced individual to fill the role of Medical Billing and Collections Specialist to join our esteemed team.

**Position Overview**:
**Responsibilities**:

- Review medical bills, records, and documentation for accuracy and ensure proper coding, billing, and filing with insurance companies and government agencies
- Generate and submit claims to insurance companies and other third-party payers
- Ensure claims are received, processed, and paid within insurance company time frames
- Collaborate with billing and coding teams to address coding errors and resubmit claims as needed
- Review, analyze and manage aged accounts receivable reports to identify overdue balances
- Utilize in-depth knowledge of medical billing codes, insurance policies, and regulations to resolve billing discrepancies and appeal denied claims as needed; contact insurance companies and third-party payers to follow up on unpaid claims and denials
- Communicate professionally with insurance companies, patients, and healthcare providers to address collection issues
- Contact patients to discuss outstanding balances, explain billing statements, and assist with payment arrangements
- Analyze and interpret explanation of benefits (EOB) and remittance advice for accurate account reconciliation
- Stay up-to-date on healthcare billing regulations and guidelines
- Verify insurance coverage and eligibility for patients
- Process payments from insurance companies and patients
- Maintain patient confidentiality and adhere to HIPAA regulations

**Requirements (Experience)**:

- Minimum of 1 year of experience in medical collections or revenue cycle management
- Strong understanding of medical terminology, DRG’s CPT, HCPCS, and ICD-10 coding; certification in medical billing and coding (e.g., CPC, CCS-P) preferred
- High school diploma or equivalent; associate or bachelor’s degree preferred
- Proficient in medical billing software and electronic health records (EHR) systems
- Knowledge of healthcare billing regulations, including HIPAA and Medicare guidelines
- Attention to detail and accuracy in data entry, billing processes, and documentation
- Strong negotiation and communication skills
- Detail-oriented with a focus on accuracy in account reconciliation
- Ability to prioritize tasks and work independently; also, collaboratively within a team when needed.
- Previous experience in a certified healthcare billing role or medical office preferred
- Demonstrates flexibility and ability to adapt to change

Pay: $20.00 - $28.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Health insurance
- Paid time off

Schedule:

- 8 hour shift
- Monday to Friday
- Weekends as needed

Work setting:

- Office

**Experience**:

- ICD-10: 1 year (required)

Ability to Relocate:

- Pasadena, CA: Relocate before starting work (required)

Work Location: In person


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