Medical Billing Specialist

3 weeks ago


Long Beach, California, United States TPIRC Full time
Job Summary

The Medical Billing A/R Specialist plays a crucial role in ensuring the efficient and accurate execution of the revenue cycle process at TPIRC. This position is responsible for researching and resolving outstanding account receivables for our patient population, working closely with patients, insurance companies, financial counselors, and other departments to maximize revenue.

Key Responsibilities
  • Eligibility and Benefits Verification: Perform eligibility and benefits inquiries for new and established patients, enter and update relevant information in the EMR/PM system and Salesforce, and verify eligibility and benefits using real-time systems and health plan portals.
  • Collections: Manage a portfolio of assigned accounts, maximize revenue through follow-up and document actions taken, and effectively appeal claims with supporting documentation.
  • General: Collaborate with patients and team members to research and resolve billing inconsistencies, collect and maintain patient demographic and medical information, and provide exceptional customer service.
Requirements
  • High School diploma or GED required
  • Customer Service experience required
  • Medical billing and coding certification preferred
  • 3+ years of experience in medical billing required
  • 3+ years of experience in inpatient/outpatient collections with a specialty group practice


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