Billing coordinator Jobs in Orange, CA

About Us

All Care To You is a Management Service Organization providing our clients with healthcare administrative support. We provide services to Independent Physician Associations, TPAs, and Fiscal Intermediary clients. ACTY is a modern growing company which encourages diverse perspectives. We celebrate curiosity, initiative, drive and a passion for making a difference. We support a culture focused on teamwork, support, and inclusion. Our company is fully remote and offers a flexible work environment as well as schedules. ACTY offers 100% employer paid medical, vision, dental, and life coverage for our employees. We also offer paid holiday, sick time, and vacation time as well as a 410k plan. Additional employee paid coverage options available.

Job purpose

The Medical Billing Coordinator ensures timely and accurate reimbursement by managing outstanding claims and collaborating with insurance carriers, providers, and billing teams. This role requires strong problem-solving skills to resolve complex billing issues and maintain compliance with industry standards. This person will be key to early detection of problems ensuring claims are processed accurately and promptly. The position plays a key role in maintaining client satisfaction, providing critical support to ensure the financial health of our clients and growth for our company. Strong written and verbal communication skills are essential for interacting with clients and insurance representatives.

Duties and responsibilities

• Claims Management :

Conducts timely and accurate follow-up on professional services claims to ensure all requested information has been submitted and claims are being processed utilizing payor portals, secure chat, secure messaging, and telephone calls.

Communicate effectively with insurance companies, healthcare providers, and their billing staff to resolve claims issues and answer inquiries.

Maintain accurate records of claim status, actions taken, and resolutions utilizing established policies and procedures.

Ensure all claims follow-up activities comply with company policies, industry regulations, and legal requirements.

Identify and report trends which could have an overall negative impact on claim payments such as processing errors, denials, or billing issues.

Identify and recommend process improvements to enhance the efficiency and effectiveness of the claims follow-up process.

Qualifications

EZ-Cap experience preferred.