Medical Billing and Revenue Generation Professional

6 days ago


Los Angeles, California, United States CASA DE LA FAMILIA Full time

We are looking for a highly skilled and experienced medical billing and revenue generation professional to join our team at CASA DE LA FAMILIA.

**Job Summary**

The successful candidate will be responsible for generating revenue through professional billing practices and proper and ethical collection efforts. This role requires experience in medical billing and collections, particularly with workers compensation and personal injury cases, including negotiations and court representation.

**Key Responsibilities**

The medical billing and revenue generation professional will be responsible for the following:

  • Preparing and submitting patient bills for insurance and private pay
  • Acting as an intermediary between patients and their health insurance carrier
  • Maintaining a high level of professionalism and adhering to debt collection rules and regulations
  • Handling billing and collections, claim denials, patient accounts, and administrative duties
  • Communicating regularly with insurance carriers and patients to pursue payments

**Specific Job Duties**

The successful candidate will be responsible for:

  • Insurance claim preparation and submission
  • Billable claim determinations, corrections, and submissions
  • Account processing
  • Information analysis
  • Authorization and diagnosis code verification
  • Batch preparation for posting
  • Preparing and running reports
  • Overseeing patient accounts
  • Appealing claim denials
  • Answering patient questions and advising on insurance coverage and benefits
  • Establishing repayment plans and arrangements with delinquent patients
  • Contacting insurance billing departments to address and correct billing errors and omissions

**Requirements**

The ideal candidate will possess the following skills and qualifications:

  • Medical terminology
  • Legal compliance
  • Documentation skills
  • Accounts receivable and payable skills
  • Experience with medical billing software
  • EOB knowledge
  • Knowledge of multiple insurance plans, including Medicare
  • Organization and attention to detail
  • Excellent phone skills
  • Exceptional negotiation skills
  • Ability to work in a high-pressure environment
  • High school diploma/GED
  • College degree is preferred
  • Prior medical billing and collection experience is required

**Salary Range**

The estimated salary for this role is between $60,000 and $80,000 per year, depending on experience and qualifications.

Benefits

CASA DE LA FAMILIA offers a comprehensive benefits package, including health insurance, retirement savings, and paid time off.

How to Apply

If you are a motivated and experienced medical billing and revenue generation professional, please submit your application, including your resume and cover letter, to be considered for this exciting opportunity.



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