Talent.com
Medical Biller - Healthcare Claims

Medical Biller - Healthcare Claims

GuidehouseEl Segundo, CA, US
30+ days ago
Job type
  • Full-time
Job description

Medical Biller

PFS Billing

Travel Required : None

Clearance Required : None

What You Will Do :

The Medical Biller is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other departments to facilitate the meeting of both departmental and facility goals and objectives. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.

Has an extensive knowledge of billing requirements mandated by payers and / or governmental regulations. This position will perform any and all related job duties as assigned.

The medical biller will be working a hybrid schedule of two days at either the San Marcos, CA or El Segundo, CA offices and three days from home.

Essential Job Functions :

  • Hospital Billing Emphasis
  • Correcting and billing electronic and hardcopy claims
  • Submits adjusted claims
  • Provides follow-up billing
  • Prepares billing reconciliation

Duties and Responsibilities :

  • Performs daily download and reconciliation of claims from patient accounting system to electronic billing system
  • Transmits or releases claims at a minimum daily
  • Works all assigned claims daily by resolving edits, validating claim, or placing on departmental hold by reason
  • Follows-up on all assigned held claims or unreleased claims
  • Bills claims via electronic billing system
  • Reviews same day and 72 hour admission report to determine if accounts needed to be combined
  • Ensures all address changes and / or plan changes are forwarded to the appropriate people so the integrity of the insurance master is maintained
  • Files adjusted billings based on audits and / or changes in diagnosis or DRG
  • Updates patient accounts with corrected demographic or insurance information
  • Works all rejection and payer audit reports within 48 hours of receipt taking whatever action may be required to obtain account resolution
  • Monitors all denials for trends and issues and reports finding to supervisor
  • Bills or re-bills as necessary
  • Ensures hospital is in compliance with all state and federal rules and regulations both billing and HIPAA
  • Assigned special projects will be completed within the time frames given
  • Appropriately documents electronic billing system and / or patient accounting system
  • Attends training sessions and seminars offered by the Hospital and Third Party Payers
  • Handles all customer calls both internal and external in a professional and courteous manner
  • Returns calls and emails as soon as possible, but must be returned within 24 hours
  • Follows the mission statement and values established by the facility
  • What You Will Need :

  • High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED.
  • 0-2+ years working within the following sectors : healthcare, insurance, business, finance or customer service.
  • Working knowledge can be of the following : insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities.
  • What Would Be Nice To Have :

  • Previous billing background.
  • Emphasis in Hospital Billing
  • Excellent communication and interpersonal skills.
  • Experience with Excel and Word.
  • The annual salary range for this position is $38,000.00-$63,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

    What We Offer :

    Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental / Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • About Guidehouse :

    Guidehouse is an Equal Opportunity EmployerProtected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

    Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

    If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com.

    All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.

    Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

    Create a job alert for this search

    Medical Biller • El Segundo, CA, US

    Related jobs
    • Promoted
    Medical Biller

    Medical Biller

    JOSEPH VARDAYO MD INCLong Beach, CA, US
    Full-time
    Career Advancement Opportunities.Must be able to work in office closely with the doctors and patients ( please don't apply if you are looking for a remote job). As a Medical Biller, you will be ...Show moreLast updated: 30+ days ago
    • Promoted
    Ambulance Medical Biller

    Ambulance Medical Biller

    First Rescue AmbulanceBaldwin Park, CA, US
    Full-time
    First Rescue Ambulance in Irwindale is actively hiring for qualified candidates who have at least two years of ambulance medical billing experience. Process claims for BLS and CCT level ambulance tr...Show moreLast updated: 30+ days ago
    • Promoted
    A / R Specialist-Medical Billing and Collections

    A / R Specialist-Medical Billing and Collections

    TTF Search and StaffingNewport Beach, CA, US
    Full-time
    TTF is looking for a Biller / Collector to work for a client in Newport Beach, CA.The starting salary will depend on experience and our client offers a pleasant work environment.Job duties include bi...Show moreLast updated: 15 days ago
    • Promoted
    Commercial Biller

    Commercial Biller

    University of California - Los Angeles HealthLos Angeles, CA, United States
    Full-time
    As the Commercial Biller, you will be responsible for : .Accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers.Interpreting payer contr...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller

    Medical Biller

    HEALTH ATLAST WEST LALos Angeles, CA, US
    Full-time
    Sawtelle Blvd, Los Angeles, CA 90066 (On-site Only).Health Atlast is a fully integrated, multi-disciplinary healthcare practice located in West Los Angeles. Our team comprises professionals from var...Show moreLast updated: 30+ days ago
    • Promoted
    MEDICAL BILLER AND COLLECTOR

    MEDICAL BILLER AND COLLECTOR

    Comprehensive Community Health Centers Inc.Glendale, CA, US
    Full-time
    MEDICAL BILLER AND COLLECTOR JOB SUMMARY.Performs highly technical and specialized functions for Comprehensive Community Health Centers. Responsible for taking the data provided by the medical coder...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Billing Specialist

    Medical Billing Specialist

    MedixWest Hollywood, CA, US
    Full-time
    Essential Functions and Responsbilities : .Codes such items as invoices, vouchers, expense reports, check requests, etc.Uses critical thinking skills to interpret information furnished in written, or...Show moreLast updated: 1 day ago
    Medical Biller & Coder

    Medical Biller & Coder

    Rooted Talent SolutionsLos Angeles, California, .US
    Full-time +2
    Quick Apply
    Why Apply Through Rooted Talent Solutions?.Personalized Matching : We align your skills and preferences with healthcare organizations that fit your goals. Streamlined Process : Our team and technology...Show moreLast updated: 30+ days ago
    • Promoted
    Occupational Health Service Claims Processor I (Bilingual)

    Occupational Health Service Claims Processor I (Bilingual)

    Kaiser PermanenteAnaheim, CA, US
    Full-time
    Occupational Health Service Claims Processor I (Bilingual).Under direct supervision, provides patient / visitor reception. check in and out; cash handling appointment scheduling; and other Occupation...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Adjuster / Biller III - Claims Examiner Senior8H Days Claims Adjuster / Biller III - Claims Examiner Senior

    Claims Adjuster / Biller III - Claims Examiner Senior8H Days Claims Adjuster / Biller III - Claims Examiner Senior

    Abacus Service CorporationWhittier, CA, US
    Full-time
    Claims Adjuster / Biller III - Claims Examiner Senior.Position Type : Claims Adjuster / Biller III - Claims Examiner Senior Time Type : 8H Days Program : OneSource Non Clinical Health Care System : PIH...Show moreLast updated: 30+ days ago
    • Promoted
    Patient Account Biller #700415

    Patient Account Biller #700415

    Los Angeles LGBT CenterLos Angeles, CA, US
    Full-time
    Shift Differential Premium for hours worked between 6pm-6am.Schedule : Monday-Friday 8 : 00am-5 : 00pm.Status : 100%, Full-Time, Non-Exempt, Union. Benefits : Medical, Dental, Vision; also including Life I...Show moreLast updated: 30+ days ago
    • Promoted
    Prior Authorization / Verification Biller

    Prior Authorization / Verification Biller

    TTF Search and StaffingCosta Mesa, CA, US
    Full-time
    Biller to work for a client in Costa Mesa, CA.The starting salary will depend on experience and our client offers a pleasant work environment. Job duties include : Verify insurance information for up...Show moreLast updated: 2 days ago
    • Promoted
    Medical Biller

    Medical Biller

    JWCH InstituteLos Angeles, CA, US
    Full-time
    The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health ca...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Adjuster / Biller III - Claims Examiner Senior

    Claims Adjuster / Biller III - Claims Examiner Senior

    Abacus Service CorporationWhittier, CA, US
    Full-time
    Contract Status : Closed and Not Awarded Contract ID# : 221508 (Posted by Amy Campbell) Signup Starts : 8 / 8 / 2022 12 : 00 AM EST Signup Ends : 11 / 27 / 2022 12 : 00 AM EST Need Status : Offered Date Range : 9 / 5 / ...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller

    Medical Biller

    Krista Care LLCArcadia, CA, US
    Full-time
    We at Krista Care believe in a client first approach.You must be compassionate to work with Krista Care.We are more than just a team as we treat each other as family. If you are looking for a compan...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller - Huntington Beach, CA

    Medical Biller - Huntington Beach, CA

    VensureHuntington Beach, CA, US
    Full-time
    Position Summary We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. Candidates must have prior experience in an SNF setting and be proficient i...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller

    Medical Biller

    Los Palos Post-Acute Care CenterLos Angeles, CA, US
    Full-time
    Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in. This position will help to support 3 nursing fa...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Biller

    Medical Biller

    VICTORY HEMATOLOGY AND ONCOLOGY INCLos Angeles, CA, US
    Full-time
    Career Advancement Opportunities.As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, an...Show moreLast updated: 30+ days ago