Medical Claims and Collections

Fountain Valley, CA 92708

Employment Type: Temp-to-Hire Category: Healthcare Job Number: [SA] Billing / Biller / ICD/ ECW EClinical Works /Claims /Scrub Claims / Collections Pay Rate: $16.00

Our growing Medical Group Billing Department is looking for a skilled problem solver to join our team as a Medical Biller Extraordinaire! We need a dedicated individual who thrives on completing tasks,  who can review claims and then offer a solution and push forward  productivity to completeness.  A successful candidate for this role will have a strong desire to find a stable environment, will adhere to HIPAA policies, and appreciates being well-trained  and utilize that training to  offer  quick and accurate solutions. We are all cross trained and support each other, we have a fun team and enjoy a  positive environment! We do a lot of team building and events to keep a positive morale flow!!!

HUGE PLUS: Motivated, self starter able to work independently to meet deadlines; CPT/ICD 10 knowledge; helpful: ability to read EOBs/ERAs, claim appeals, prior knowledge/experience in internal medicine/pediatric would be helpful though not required. Focus on experience with generating/scrubbing claims and reading notes to assure correct coding/diagnoses.

Summary of Duties: Performs a variety of complex clerical and accounting functions for patient and insurance billing. Responsible for entering and coding patient services into a computer system and generating invoices to be sent to the patient/insurance. Sort and file paperwork, handle insurance claims, and perform collections duties.

  1. Customer Support answering patients' billing questions. Assist with in house billing issues and problems that the patient may be having with ancillary billing.
  2. Evaluate patients' financial status and establishes budget payments plans.
  3. Prepares and submits clean claims to various insurance companies either electronically or by paper
  4. Reviews clearing house reports for rejected claims. Does necessary work to re-submit the claim for processing
  5. Handling collections on unpaid accounts
  6. Verifying patients’ insurance coverage
  7. Prepares, reviews and sends patient statements
  8. Maintain clearinghouse reports for statements that were returned for bad address
  9. Follows and reports status of delinquent accounts
  10. Prepares a daily deposit


High School Diploma or equivalent

Experience ; HMO , Blue Cross, Blue Shield, United Healthcare, Aetna, and Cigna carriers

Internal Medicine/Pediatrics experience is helpful but not required

Prior Medical Billing Experience

Extensive knowledge of ICD9 and CPT coding according to NCCI billing guidelines

Knowledge of various insurance payers: ie: HMO, PPO, Medicare, EPO, and Tricare

Computer literate

Performs miscellaneous job-related duties as assigned

Preferred certification from a course in Medical Coding






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