Medical Claims Specialist

4 weeks ago


Tracy, California, United States Pacific Medical, Inc. Full time

Pacific Medical, Inc. is a leading distributor of durable medical equipment, specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. We are dedicated to providing excellent service and product technology to advance patient care.

We are seeking a Medical Billing Specialist to join our team at our Tracy office. As a Medical Billing Specialist, you will be responsible for verifying medical eligibility, obtaining authorization, processing files, and contacting patients and Work Comp carriers to obtain information for authorizations and processing.

Key Responsibilities:

  • Verify medical eligibility and benefit coverage online or by phone.
  • Obtain authorization if required by plan via fax, email, or online.
  • Process files within predesignated deadlines.
  • Contact patients to obtain information to process insurance claims or bill patients accordingly.
  • Contact Work Comp carriers to obtain information for authorizations and process accordingly.

Requirements:

  • High School Diploma or Equivalent.
  • Typing minimum of 45 words per minute.
  • 1-2 Years of Medical Billing Experience Preferred.

We offer a competitive hourly rate pay range of $16.00 to $23.00, with an annual range of $33,280 to $47,840. Overtime pay rate is $24.00 to $34.50, with an example of annual overtime range of $5,800 to $17,200+. We also offer a bonus opportunity, including a production bonus of $0 to $1,000 per month and a profit bonus of $0 to $1,000 per month.

Total Compensation Opportunity Examples:

  • Annual Base Pay: $38,053 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months).
  • Annual Mid-Range Pay: $56,352 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus).
  • Annual Top Pay: $77,653 (Estimate incl. 5 hrs O/T per week, Max Production and Profit bonus).

We offer a comprehensive benefits package, including Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional benefits for Full-Time Employees include 3 to 4 weeks of Paid Time Off, 10 paid holidays per year, vacation benefit, and sick benefit.



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