Medical Billing Specialist

2 weeks ago


Sens, Bourgogne-Franche-Comté, United States Elevance Health Full time

About the Role:

We are seeking a skilled Medical Billing Specialist to join our team at Elevance Health. As a key member of our financial operations, you will play a critical role in ensuring accuracy and completeness of patient account files.

Job Description:

The ideal candidate will have a strong background in billing and appeals process, with experience in Medicare/MediCal. Your primary duties will include reviewing patient account files, preparing and submitting billings to insurance carriers, and collecting and decreasing assigned Accounts Receivable.

Responsibilities:

  • Review patient account files for accuracy and completeness
  • Prepare and submit billings to primary/secondary insurance carriers and/or Medicare/MediCal
  • Collect and decrease assigned Accounts Receivable focusing on high value accounts
  • Manage and maintain third-party accounts
  • Respond to patient, insurance carrier, and internal/external telephone inquiries
  • Complete all denial and correspondence daily
  • Prepare and submit refund requests to insurance carriers
  • Re-bill claims when not paid properly

Requirements:

  • H.S. diploma or equivalent and a minimum of 2 years of experience in billing and appeals process in Medicare/MediCal
  • ICD-9 and CPT-4 coding knowledge strongly preferred

About Us:

Elevance Health is a health company dedicated to improving lives and communities. We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Our associates enjoy access to medical, dental, vision, short and long-term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs, and financial education resources.

Salary: The estimated annual salary for this position is around $65,000, depending on location and experience. Please note that this figure is an estimate and may vary based on individual circumstances.



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