Medical Billing Specialist

Irvine, CA | Temp-to-Hire

Job ID: [SA] Industry: Healthcare Pay Rate: $20-30/ hour DOE

 

Major medical company in Irvine California is looking for a good Medical Billing Specialist. This is a Contract to hire position and is on the day shift. the pay range is $20-30/ hour to start depending on department and experience.

  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Research and appeal denied claims
  • Set up patient payment plans and work collection accounts
  • Ensure all claims are submitted with a goal of zero errors.
  • Verifies completeness and accuracy of all claims prior to submission.
  • Timely follow up on insurance claim denials, exceptions or exclusions.
  • Reading and interpreting insurance explanation of benefits.
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
  • Make necessary arrangements for medical records requests as requested by insurance companies.
  • Respond to inquiries from insurance companies, patients and providers

Must Have:

  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Ability to manage relationships with various Insurance payers
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • 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

 

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