Medical Claims Billing and Data Entry Specialist

4 weeks ago


Torrance, United States inAssist Full time

Be a part of a rapidly growing and dynamic healthcare company

**Job Role**:

- Performs high volume of manual submissions of multi-specialty medical billing for out of network claims
- Prepares, creates, reviews and submits claims thru paper claims processing
- Consistently meets productivity goals that are aligned with corporate objectives
- Maintains patient confidentiality as per the Health Insurance Portability and Accountability Act (HIPAA)
- Identify problems and inconsistencies by using management reports
- Summarize findings and make recommendations to resolve claims/billing issues

**Job Requirements**:
A background in medical billing or insurance claims administration (Medical Billing and Coding Specialists, and/or Health Insurance Claims Administrators strongly preferred)
- Minimum 1 year plus, medical billing experience required
- Basic knowledge of coding and medical terminology required
- Understanding of general Coordination of Benefit Rules and insurance guidelines a plus
- Ability to work in a fast-paced team environment and think outside the box
- Must be flexible with an openness to learn with exceptional problem-solving skills to research and resolve discrepancies
- Proficient in Microsoft Excel, Word and Outlook with strong communication skills
- Working knowledge of Nitro, a plus
- Experience working in a multi-specialty billing office is a plus
- Detail oriented
- Time management skills
- Excellent organizational and scheduling skills
- Ability to multi-task, while working with a sense of urgency
- Ability to prioritize many coexisting projects
- Self motivated / Self Starter
- Reliable
- Ability to recognize trends and patterns
- Perform rejection trend analysis
- Strong interpersonal skills
- Knowledge of various insurance / carrier types
- Knowledge of UB40 and 1500 Forms
- Research skills
- Familiarity with manual / paper billing

**Benefits you will enjoy when you join our team**:

- Extensive paid training
- A supportive team environment
- Advancement opportunities
- Benefits, including medical, dental, vision, 401K and life insurance.
- Generous PTO and paid Holidays
- Part time and full time opportunities available.

**Experience**:

- Explanation of Benefits: 3 years (preferred)
- Medical Billing: 3 years (preferred)
- Out of Network: 2 years (preferred)
- Commercial Insurance: 3 years (preferred)

Pay: $18.00 - $21.00 per hour

**Benefits**:

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

Schedule:

- 8 hour shift
- Monday to Friday

**Experience**:

- Nitro / Adobe: 1 year (preferred)
- Microsoft Word: 1 year (preferred)
- DocuSign: 1 year (preferred)

Work Location: In person



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