We are seeking an experienced Medical Biller / Collector to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.
Duties :
Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
Follow up with payers (HMO, PPO, Medicare, Medi-Cal, TriCare, Work Comp) on unpaid or denied claims and resubmit as necessary.
Process payments from insurance companies and patients.
Maintain accurate and up-to-date patient billing records.
Answer patient inquiries regarding billing and insurance coverage.
Work A / R aging reports and collaborate with insurance companies to identify and correct coding / billing errors.
Write and submit appeals to insurance companies, as needed.
Experience :
Minimum of 2 years of experience in medical revenue cycle management, including collections experience.
MUST have experience using NextGen EHR.
Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
Expertise with HMO, Medi-Cal, or Medicare is a plus.
Note : This is not an entry-level position. Prior experience in medical billing / collections is required.
Schedule : Monday to Friday; flexible hours (7 : 00 am - 3 : 30 pm, 7 : 30 am - 4 : 00 pm, or 8 : 00 am - 4 : 30 pm)