Job Title : Medical Biller
Request-ID : 3940-1
Duration : 6 months Contract
Location : Onsite- 4900 Rivergrade Rd, Irwindale, CA 91706, United States
Shift Type : 8 am to 5 pm PST
Job Duties :
- Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
- Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
- Ensures all conditions for payment receipt have been satisfied, which includes but not limited to :
o Accurate charges
o Patient insurance eligibility
o Accurate financial class
o Patient benefit coverage
o Authorization / certification / TAR information
o Patient responsibilities
o Claims address
o CPT coding, as applicable
o ICD-9 coding, as applicable
Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.Interacts with co-workers and other representatives to obtain required information on a timely basis.Initiates contact with patient’s as necessaryInitiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.When required, submits bills to insurance for secondary insurance.Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.Clearly document within the patient’s account, based on internal policies and procedures.Demonstrates teamwork and provides assistance with special projects when assigned.Minimum Education :
High school diploma or equivalent
Minimum Experience :
Minimum three (3) to five (5) years’ experience performing medical functions.Minimum experience including corresponding with patients and insurance companies in resolving patient accounts.Extensive knowledge of insurance carrier procedures.Experience with reading Explanation of Benefits (EOB) statements.Proven ability to handle multiple conflicting tasks.Software :
Experience with on-line practice management system.Knowledge of PC based software application (e.g. Word for Windows, Excel, etc.).Type 35+ wpm required