Performs medical billing and collections for regional and national payers, including Federal, State, and commercial plans, as well as patient billing.
Responsibilities include:
- Reviewing accounts for billing accuracy to maximize reimbursement
- Following up on claims status and performing persistent collection efforts
- Appealing, rebilling, or forwarding claims for recalculation or adjudication as needed
- Managing billing accuracy, insurance assignment, and eligibility verification
- Reviewing and updating patient demographics and account information
- Processing payer requests, remittance advice, correspondence, and EOBs
- Investigating denied services and identifying root causes of denials
- Developing, submitting, tracking, and evaluating appeals
- Using billing systems and tools to support cash collection activities
- Reviewing aging, adjustments, and credit balance reports
- Supporting cash and DSO goals
- Complying with billing-related federal and state regulations and internal policies
Requirements & Qualifications
Qualifications
- High school diploma with at least 4 years of related experience, or a bachelor's degree from a four-year college or university, or an equivalent combination of education and experience
- Working knowledge and hands-on experience in medical billing and reimbursement; credentialing experience is a plus
- Proficiency with Microsoft Outlook, Excel, Word, and internet/intranet-based systems
- Strong problem-solving skills, good judgment, attention to detail, and follow-through
- Excellent customer service, verbal, and written communication skills
- Ability to prioritize work, multitask, and manage time effectively
- Ability to adapt to increased business demands
- Ability to work effectively with complex accounts and billing issues
- Strong interpersonal skills and the ability to collaborate professionally with others
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
7 months ago