Medical Billing Specialist
4 weeks ago
**Insurance Analyst/Medical Biller**
**Location**: Rancho Mirage, CA
**Hours Per Day**:8.00
**Days Per Week**:5.00
**Duties**:
- Performs account review, follow-up, and collections, including double recoupment, correspondence, and credit balance resolution.
- Demonstrates compliance with the Code of Conduct and compliance policies, taking action to resolve compliance questions or concerns and report suspected violations.
- Manages new accounts daily within Receivables Workstation, coordinating with other hospital departments to process or resolve claims.
- Contacts patients and/or account guarantors to solicit payment.
- Works all accounts listed in the Follow-Up queue daily to promote collection, including telephoning the payer or accessing payer websites.
- Manages account inventory timely to promote payment and resolution as instructed by management.
- Stays current on all payer requirements by reading bulletins, reviewing provider handbooks, etc.
- Processes incoming correspondence, including denials, prior authorizations, and additional necessary information.
- Records newly identified insurance plans and facilitates account processing accordingly.
- Records accurate notes in the electronic account file to depict the current status, issues, and anticipated resolution dates.
- Escalates account management to Supervisor when needed.
- Keeps PFS management updated with contract, payer, or system changes/issues.
**Skills**:
- Knowledge of Compliance Regulations and Medical Billing and Coding.
- Customer Service and Communication.
- Time Management and Organization.
- Teamwork and Collaboration.
**Education**:
- Required: High school diploma, GED, or higher level degree.
- Licensure/Certification: N/A.
- Experience:
- Required: One (1) year of billing/collections experience, billing certification, or prior successful internship/temporary assignment in a patient financial service setting.
- Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations.
**Job Type**: Contract
Pay: $20.00 - $22.00 per hour
Expected hours: 40 per week
Schedule:
- 8 hour shift
- Day shift
Work Location: On the road
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