Healthcare Revenue Cycle Coordinator

5 days ago


Lakeport, California, United States Management Connections Full time
Overview:
At Management Connections, we're dedicated to delivering exceptional service in the healthcare industry. Our team of professionals works tirelessly to provide top-notch support to our clients. As a Medical Biller III, you'll play a crucial role in ensuring the accuracy and timeliness of our billing processes.

Main Responsibilities:
  • Billing and Coding Specialist - Ensure compliance with coding guidelines, reimbursement policies, and federal/state regulations through accurate review and verification of billing and coding processes.
  • Electronic Claims and Payments - Manage electronic claims and payments using specialized software, verifying patient account charges, payments, and adjustments.
  • Third-Party Payers - Submit claims for third-party payers, addressing denials and processing appeals as needed.
  • Patient Support - Assist patients with billing inquiries and statements, maintaining patient demographic and insurance information.
  • Coding and Compliance - Process dental procedures and maintain accurate coding in relevant systems, adhering to federal/state regulations.
  • Team Support - Support the Billing Supervisor as a backup and assist with training new staff members.

Qualifications:
* Associates degree or 3+ years of relevant experience in medical/dental billing and coding.
* CCS, CCS-P, or CPC certification is preferred but not mandatory.
* Strong knowledge of federal/state billing guidelines, including Medicare and Medi-Cal regulations.
* Proficient in office equipment and software, such as EHR and Microsoft Office.
* Understanding of HIPAA regulations and their application in healthcare billing.
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