Healthcare Billing Specialist (California Only)- In Person or Remote
We are seeking a dynamic, engaged individual that aspires to grow professionally within a collaborative work environment. We provide end-to-end billing services for medical practices within San Diego County. Innovation, continuous improvement, and excellence are the cornerstones to all that we do. We are looking for an experienced professional that has proven success in medical billing, quality... assurance, and revenue cycle management.
RESPONSIBILITIES
Billing and Claims
o Prepares, reviews, and transmits clean claims to third party payers (both electronically and by paper).
o Requests prior authorizations for services.
o Appropriately and efficiently addresses rejected claims.
o Maintains relationship with clearing house, including appropriate follow-up with support issues.
o Checks eligibility and benefits utilizing third party sources.
o Embodies expert knowledge in respect to insurance guidelines for Medicare, Medicaid, HMO, and PPO payers.
o Researches denied claims and executes appeals process.
o Manages monthly statement process.
o Ensures accuracy of payment and posts payments to respective accounts.
o Expertise in CPT and ICD-10 coding.
o Follows up on unpaid claims within standard billing cycle timeframe.
Provides excellent customer service- demonstrated through patient education, listening, and communication.
Adheres to HIPPA guidelines, policies, and procedures.
Demonstrates understanding of objectives and key results related to medical billing.
Prepares key performance indicators reports for Billing Department.
Conducts quality assurance audits
Develops processes to improve efficiencies and quality within the Billing Department.
EXPERIENCE REQUIREMENTS
5+ Years experience in a medical office setting
3+ Years experience in Healthcare Billing
3+ Years experience in Quality Assurance
2+ Years in Revenue Cycle Management
EDUCATION REQUIREMENTS
Bachelors Degree (preferred)
Job Type: Full-time
Pay: $20.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Vision insurance
Schedule:
Monday to Friday
Work Location: Remote
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