Medical Biller/Collector

1 week ago

Santa Rosa, California, United States Santa Rosa Community Health Full time
Job Summary

A Medical Biller/Collector is responsible for accurate and timely billing insurance plans, collection and posting of payments, all claims follow-up, billing of secondary claims, and posting patient charges as directed by Billing Supervisor.

Key Responsibilities
  • Inputs charges for private pay, insurance, Medi-Cal, Medicare and special aid programs into the practice management system.
  • Sees to completion of charges regarding DX & procedures.
  • Process and submits primary claims electronically.
  • Submits patient statements 2-3 times a week.
  • Copies and submits paper claims.
  • Able to answer billing, insurance, and aid program questions and understands account balances.
  • Makes calls to insurance companies regarding proper address of claims and eligibility as needed.
  • Assists in daily collection of patient balances.
  • May handle daily cash, balance to a daily journal.
  • Audits and corrects demographics as needed.
  • Makes calls to and receives calls from patients as needed regarding billing and statement questions.
  • Applies patient payments, insurance payments and copays as instructed.
  • Audits and corrects demographics as needed.
  • Maintains an up-to-date billing manual for reference and/or is familiar with where to locate information on the internet.
  • Call insurance carriers to check status of claims.
  • Accurately uses ICD10, CPT, and HCPCS coding.
  • Keeps Accounts Receivable to 45 days by working Aging and timely follow-up of unpaid claims and working claim denials.
  • Identifies and resolves billing and claim queries/problems.
  • Performs any work as described above in an independent, responsible manner.
  • Participates in ongoing training.
  • Other duties as assigned.
Requirements
  • High school diploma or equivalent.
  • Experience with eCW preferred.
  • Insurance billing experience preferred.
  • Knowledge and Skills:
    • Knowledge of medical billing and collections terminology.
    • Must take initiative and work in an independent fashion.
    • Ability to perform diversified clerical functions and basic accounting procedures.
    • Ability to effectively communicate with people at all levels and from various backgrounds.
    • Commitment to excellence and high standards.
    • Strong organizational, problem-solving, and analytical skills.
    • Acute attention to detail.
    • Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm.
    • Knowledge of claim follow-up for Medicare, Medi-Cal, CDP, Family Pact, private insurance, CHDP and more.
    • Ability to make status calls to facilitate claim payment.
    • Ability to make calls to patient to facilitate payment plans on aged accounts.
    • Able to meet aggressive collection goals.
    • Ability to successfully handle claim denials.
    • Demonstrated outstanding customer service.
    • Ability to work independently and as a member of the collections team.
    • Fluency in English and Spanish (speak, read and write) preferred.
    • Ability to work a flexible schedule.
    • Demonstrates knowledge of compliance issues within the community clinic environment.
    • Demonstrates a willingness to report any incident that is unusual or incompatible with accepted clinic procedures.
    • Always maintains confidentiality of patients by complying with HIPAA policies.
    • Strong interpersonal skills; ability to be sensitive with persons of various social, cultural, economic, and educational backgrounds.
    • Proficiency with Microsoft Office applications including Outlook, Word, Excel and PowerPoint.
    • Strong organizational skills with ability to prioritize projects, work relatively independently, manage multiple tasks, and meet deadlines.
    • Strong written and verbal communication skills.
    • Good judgment, problem solving and decision-making skills.
Physical Requirements

While performing the duties of this job, this position is frequently required to do the following:

  • Bending
  • Lifting
  • Extended sitting at computer
  • Use standard office equipment and access, input, and retrieve information from a computer. Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
  • Communicate effectively in person or via telephone in a manner, which can be understood by those with whom the person is speaking, including a diverse population.
  • Give and follow verbal and written instructions with attention to detail and accuracy.
  • Perform complex mental functions; collect, interpret, and/or analyze complex data and information.
  • Vision: see details of objects at close range.
  • Coordinate multiple tasks simultaneously.
  • Reach forward, up, down, and to the side
  • Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
  • Lift up to 20 pounds.

  • Medical Biller/Collector

    6 days ago

    Santa Rosa, California, United States Santa Rosa Community Health Full time

    Job Summary:A Medical Biller/Collector is responsible for accurate and timely billing insurance plans, collection and posting of payments, all claims follow-up, billing of secondary claims, and posting patient charges as directed by Billing Supervisor.The ideal candidate will have knowledge of all aspects of billing insurance plans, Medi-Cal, Medicare, and...

  • Medical Biller Specialist

    2 weeks ago

    Santa Ana, California, United States Royalty Medical Solutions Full time

    Job Title: Medical Biller SpecialistCompany: Royalty Medical SolutionsJob Type: Full-TimePosition Summary:Royalty Medical Solutions is seeking a detail-oriented and experienced Medical Biller Specialist to join our dynamic team. In this role, you will be responsible for managing and processing lien billing associated with personal injury and workers'...

  • Medical Collector

    2 weeks ago

    Santa Barbara, California, United States ExamOne, a Quest Diagnostics company Full time

    {"title": "Medical Collector", "content": "About the RoleAs a Medical Collector with ExamOne, a Quest Diagnostics company, you will play a vital role in providing high-quality medical services to individuals and families. Your expertise in collecting medical histories, performing venipuncture, and taking vital signs will make a significant difference in the...

  • Medical Specimen Collector

    1 week ago

    Santa Rosa, California, United States MedTeam Staffing Full time

    Job SummaryWe are seeking a skilled Phlebotomist to join our team at MedTeam Staffing. As a Phlebotomist, you will be responsible for collecting and processing blood samples from patients in a fast-paced laboratory or hospital setting.Key Responsibilities:Collect and store blood samples according to established proceduresProperly label and centrifuge...

  • Mobile Phlebotomist/Collector Specialist

    3 days ago

    Santa Barbara, California, United States ExamOne, a Quest Diagnostics company Full time

    About the JobAs a Mobile Collector with ExamOne, a Quest Diagnostics company, you will be responsible for collecting medical histories, venipuncture, manual blood pressure, vitals, and urine specimens. This is a part-time, on-call, and at-will position, offering flexibility in choosing your work schedule and areas of operation.What to ExpectCollect medical...

  • Medical Specimen Collector

    5 days ago

    Santa Cruz, California, United States Pride Health Full time

    {"title": "Phlebotomist Opportunity", "content": "Job SummaryPride Health is seeking a skilled Phlebotomist to support our client\u2019s medical facility in Santa Cruz, CA. This is a 6-month assignment opportunity with the possibility of extension or conversion.Key Responsibilities:Collect high-quality blood samples from patients and prepare specimens for...

  • Customer Relations Specialist

    1 day ago

    Santa Ana, California, United States Collectors Full time

    About CollectorsCollectors is a leading provider of innovative technology and value-added services for collectors worldwide. Our mission is to help collectors pursue their passions by modernizing and digitalizing the process of collecting.Job SummaryWe are seeking a Customer Relations Specialist to join our PSA Customer Relations team. As a key member of our...

  • Compensation and Benefits Analyst

    4 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology, delivering value-added services to collectors globally. We specialize in grading, authenticating, securing, and trading millions of record-breaking collectibles, while continually modernizing and digitizing our processes to support our mission of empowering collectors in their pursuits.We are...

  • Phlebotomy Specialist

    4 days ago

    Santa Clara, California, United States Quest Diagnostics Full time

    Job SummaryQuest Diagnostics is seeking a highly skilled and detail-oriented Medical Specimen Collector to join our team. As a Medical Specimen Collector, you will play a critical role in ensuring the accurate and timely collection of medical specimens for testing and analysis.Key ResponsibilitiesCollect medical specimens from patients in a safe and...

  • Medical Specimen Collector

    11 hours ago

    Santa Monica, California, United States Providence Health & Service Full time

    Job SummaryWe are seeking a skilled Phlebotomist to join our team at Providence Health & Service.Key ResponsibilitiesObtain accurate and reliable blood and body fluid specimens from properly identified patients.Identify phlebotomy difficulties and define appropriate solutions.Coordinate resources to ensure efficient specimen collection.Maintain outstanding...

  • Phlebotomy Specialist

    2 weeks ago

    Santa Clara, California, United States Quest Diagnostics Full time

    Job SummaryQuest Diagnostics is seeking a highly skilled and detail-oriented Medical Specimen Collector to join our team. As a Medical Specimen Collector, you will play a critical role in ensuring the accurate and timely collection of medical specimens for testing and analysis.Key ResponsibilitiesCollect medical specimens from patients in a safe and...

  • Marketing Events Coordinator

    4 weeks ago

    Santa Ana, California, United States Collectors Full time

    Collectors stands at the forefront of pioneering technology that delivers enhanced services for collectors globally. We specialize in grading, authenticating, securing, and trading millions of record-breaking collectibles, all while advancing and digitizing the process to fulfill our mission of empowering collectors in their pursuits. We are consistently...

  • Patient & Insurance Coordinator

    3 weeks ago

    Santa Cruz, California, United States Solis Acupuncture Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient & Insurance Coordinator to join our team at Solis Acupuncture. As a key member of our staff, you will be responsible for coordinating all aspects of care for new patients, from initial phone calls to their first visit. This is a part-time position that requires excellent communication...

  • Employee Benefits Specialist

    4 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology, dedicated to providing exceptional services for collectors globally. We specialize in grading, authenticating, vaulting, and selling a vast array of record-setting collectibles, while continuously modernizing and digitalizing our processes to fulfill our mission of supporting collectors in...

  • Employee Benefits Specialist

    3 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology that delivers value-added services for collectors globally. We specialize in grading, authenticating, vaulting, and selling millions of record-setting collectibles, all while modernizing and digitizing the process to fulfill our mission of supporting collectors in their pursuits. Position...

  • Employee Benefits Specialist

    3 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology that delivers value-added services for collectors globally. We specialize in grading, authenticating, vaulting, and selling a vast array of record-setting collectibles while modernizing and digitizing the process to support our mission of assisting collectors in pursuing their passions....

  • Employee Benefits Specialist

    3 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology, dedicated to providing exceptional services for collectors globally. We specialize in grading, authenticating, securing, and selling a vast array of record-setting collectibles, while continuously modernizing and digitizing our processes to support collectors in pursuing their passions. Our...

  • Marketing Project Coordinator

    4 weeks ago

    Santa Ana, California, United States Collectors Full time

    Company OverviewCollectors is a premier innovator in technology that offers value-added services for collectors globally. We specialize in grading, authenticating, vaulting, and selling millions of record-setting collectibles while modernizing and digitalizing the process to support our mission of empowering collectors in their pursuits.Position SummaryWe...

  • Client Relations Coordinator, PSA

    4 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors: Collectors is a premier innovator in technology that delivers enhanced services for collectors globally. We specialize in grading, authenticating, securing, and trading millions of exceptional collectibles, while continually modernizing and digitizing our processes to fulfill our mission of supporting collectors in their pursuits. Our...

  • Event Marketing Specialist

    3 weeks ago

    Santa Ana, California, United States Collectors Full time

    About Collectors:Collectors is a premier innovator in technology, delivering value-added services for enthusiasts around the globe. We specialize in grading, authenticating, securing, and trading millions of record-breaking collectibles, all while advancing and modernizing the process to support our mission of empowering collectors in their pursuits.Position...