Medical Biller Specialist

3 weeks ago


Anaheim, United States Anaheim Admin Full time
Job Summary

We are seeking a highly skilled Medical Biller Specialist to join our team at Anaheim Admin. The successful candidate will be responsible for ensuring timely eligibility for appointments, working with OHS dashboard, billing and reimbursement of clean claims, correcting denied claims, and appealing denied or delayed claims for OHS payers in order to receive reimbursement for healthcare claims.

Key Responsibilities
  • Verify eligibility for online health appointments, working directly with OHS dashboard
  • Create patient accounts with patient demographics in EHR system
  • Create claims and billing to OHS payers with claims follow-up
  • Correct denied claims and appeal denied or delayed claims for OHS payers
  • Communicate with RCM leadership about payer updates, changes, and requirements
  • Investigate insurance fraud and report if found
  • Maintain strict confidentiality
Requirements
  • Billing certificate preferred
  • Minimum Education: Associates or Bachelor's Degree preferred or equivalent experience in related field
  • Minimum Work Experience: 2 years of experience as a medical biller/claims follow-up specialist or collections specialist in an outpatient medical setting (non-hospital) in primary care, family planning and telehealth
  • Medical terminology
  • Computer database management (electronic practice management system). EClinicalWorks/NextGen experience preferred
Working at Anaheim Admin

We offer a competitive benefits package, including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long-term disability. We also offer generous vacation, sick, and holiday benefits, as well as generous 401(k) matching contributions.


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