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Medical Billing specialist
Medical Billing specialistPacer Group • San Diego, CA, United States
Medical Billing specialist

Medical Billing specialist

Pacer Group • San Diego, CA, United States
15 days ago
Job type
  • Full-time
Job description

Shift : M-F 5 x 8 Days; traveler has the option to work between hours starting anywhere within 6A-9A and ending anywhere within14 : 30 (230P) and 1700 (500P) PST

Contract Length : 16 weeks with the possibility to extend or permanently hire

Fully Remote - candidate must live in PST zone

  • MUST CONFIRM CANDIDATE HAS ACCESS TO DIPLOMA SHOULD AN OFFER BE PRESENTED

Requirements :

  • H.S Diploma, GED or Equivalent
  • 2 Years of Experience as a Healthcare / Hospital Reimbursement Specialist
  • Strong knowledge of Medi-Cal (Mcal) and Medi-Cal Managed Care Hospital billing (HB)
  • Proficiency in microsoft products : Excel, Word and Outlook
  • Ability to review denials / underpayments and know corrective actions to take based on the denial rationale and reason codes
  • EPIC highly preferred
  • Job Description : Under the direction of PFS Leadership, the Reimbursement Specialist I is responsible for billing & collections of outstanding account balances for commercial, government, & managed care payors as assigned. The Reimbursement Specialist I is required to identify & report payor issues to their leadership. It is a requirement for the Reimbursement Specialist I to read, interpret & apply complex payor contract language to expected reimbursement calculations & pursue all payments due to the organization. The Reimbursement Specialist I must perform account collection activities utilizing internet resources & professional telephone communication etiquette. The Reimbursement Specialist I is required to compose professional written correspondence with all internal & external entities.

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    Medical Billing Specialist • San Diego, CA, United States

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