Medical Biller

Irvine, CA | Temp-to-Hire

Job ID: [SA] Medical Biller Industry: Healthcare Pay Rate: $20 -$22 DOE

 The Billing Specialist for Breast Cancer facility, you will be accountable for the billing and insurance eligibility and authorizations for our patients’ cancer procedures. This position is one of the primary contacts for insurance companies related to these procedures and has regular patient and provider interaction answering questions and explaining authorizations, insurance eligibility and billing.

Job Responsibilities Include:

  • Verify patients' insurance and obtain authorizations for high dollar drugs and infertility procedures.
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
  • Act as primary contact for insurance companies
  • Answer phone calls regarding billing, authorizations, insurance, and other questions. Ability to manage relationships with various Insurance payers 
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Communicate with and answer questions from patients, staff and physicians in person and over the phone relating to authorizations, insurance, referrals and billing
  • Run daily/weekly reports for efficiency
  • Review and update demographics and patient information for accuracy.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of medical terminology likely to be encountered in medical claims

 

 

All qualified candidates must have the following required Skills and Qualifications:

  • A minimum one year of billing/authorization/eligibility experience in a health care organization.
  • Familiar with insurance verification, authorization, and eligibility checks.
  • Knowledge of billing practices.
  • Familiar with health insurance policies.
  • Ability to examine and enter billing/demographic information completely and accurately.
  • Ability to perform all tasks accurately, completely, and timely.
  • Experience with data entry into EMR and practice management systems.
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