Medical Biller

Malibu, CA | Temporary

Job ID: [LA] Medical Biller Industry: Healthcare Pay Rate: $23-$25 an hour

Looking to be part of a fast growing company? Looking to be part of a close knit team?  Looking for a new challenge?


My client is looking for a Medical Biller that wants to be part of a successful team.  It is a fast paced environment located in beautiful Malibu.  It is a temp opportunity for 3-4 months with a possibility for going permanent.  The pay rate is $23-$26 an hour depending on experience. 

Essential Duties and Responsibilities:

  • Full cycle billing functions.
  • Perform efficient and accurate billing for services rendered, and establishes and monitors all related systems and audit controls to ensure eligibility and program/contractual compliance.
  • Manage submission of a high volume of claims.
  • Bring billing to its maximum; submit claims to insurance companies electronically and follow- up and track all denials for timely submission and resubmission utilizing computer- based systems.
  • Monitor duplication of services. Apply Medicaid and Medicare payments to the dates of services rendered.
  • Ensure accuracy of claim form data, required for claims acceptance and payment.
  • Process payments and adjustments on open claims.
  • Perform claim corrections and follow up activities to ensure timely reimbursement.
  • Monitor and follow up of "red flags" such as claims not going through, high number of outstanding claims.
  • Implement billing systems that adhere to Agency and funder-specific procedures and reporting requirements.
  • Ensure electronic files are balanced and posted.
  • Assist with month end, cash reconciliation.
  • Client statements and other projects and tasks as assigned.
  • Follow up on denied and rejected claims. Referencing registration processes and system functionality in order to resolve and resubmit timely.
  • Research and contact insurance companies on outstanding receivables as needed. Process invoices as required.
  • Obtain patient authorizations from various insurance companies.
  • Reconcile and post all payments against the Explanation of Benefits (EOB’s)
  • Generate weekly Status Reports regarding revenue, pending claims, dates of payment, and other reports as requested.
  • Conducts financial statement analysis relating to expense and revenue budget variances.
  • Facilitate billing operations by following policies and procedures; HIPAA compliance, and reporting compliance issues.
  • Perform additional duties as assigned.

 

Requirements:

  • Bachelor’s Degree preferred
  • 2 years of related experience
  • Medical Billing certification preferred
  • Previous medical billing and/or accounts receivable experience along with knowledge of billing related reporting in a community health, primary care and/or mental health setting
  • Excellent organizational skills, proficiency working with spreadsheets, word processing and database software is required. Moderate to advanced computer software/program literacy and computer usage experience is also required.
  • Strong experience in Medicare and Medicaid regulations, eligibility and reimbursement in a clinic setting, including APG reimbursement

If you or someone you know that is interested, please apply directly to post with updated resume.  Afterwards, call 213-228-1820 ask for Zarla.  Thank you!

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