Medical Billing Specialist

Santa Ana, CA 92614

Employment Type: Temp-to-Hire Category: Healthcare Job Number: [SA] medical collections / post biller / post billing /appeals / adjustments /Medicare / HMO / VA Pay Rate: $15.00

Position Summary:

The Post-Bill Specialist is responsible for follow up on insurance claims after the initial sent claim in order to facilitate payment from the appropriate source in a timely manner. below. The Post-bill representative should be knowledgeable in the life-cycle of a claim and the expectation of a variety of payers.

  • Submits claims for secondary payment
  • Prepare refunds due to patient or insurance company
  • Updates patient accounts based on verified information from the patient/guarantor or other valid method
  • Initiates contact with patients, as necessary to obtain insurance information
  • Responds to all phone calls from other departments or insurance companies
  • Identify charge corrections and initiate correct request forms
  • Utilize all methods of insurance verification
  • Verify eligibility and insurance benefits for aged billing patients to ensure claim process is complete
  • Ensures  conditions for payment receipt have been met, including charges and payer category; authorization/certification/TAR information; claims address; ICD and HCPCS coding; patient insurance eligibility, patient benefit coverage
  • Researches and analyzes accounts and payments. Requests reversal of balances to credit or debit if charges were improperly billed or if payments were incorrect

 

Requirements:

  • Education: High school diploma or equivalent (GED) required / Secondary school: Preferred certification from a course in: Medical Billing
  • Minimum of 1-3 years of health care insurance collections, claims appeals, or authorizations
  • Ability to work the standard 40 hours per week and over time... lots of over time
  • Must be a team player
  • Excellent organization and time management skills and flexibility to handle changing priorities
  • Computer savvy: Microsoft Word and Microsoft Excel
  • Excellent data entry skills with  low error ratio
  • Performs miscellaneous job-related duties as assigned - Must be a team player
  • Did we mention there is lots of over time?
  • Familiar with HMO, Medicare, MediCal, VA coverage

 

Work Environment / Disclaimer

  • Work Environment: Moderate noise levels due to call center operations. Frequent interruptions are common. Office temperatures are controlled and comfortable.
  • The Job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform. The Employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change

We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the California Fair Employment and Housing Act (FEHA).

This opportunity is great for those who are ready to take the next step in their career, learn and gain skills, build upon your insurance knowledge, help patients and providers with accurate billing processes.

This is a contract to hire opportunity and we are looking for driven individuals who want to work and be part of a dedicated team! We offer a collaborative environment, 11 paid holidays, competitive benefit package, and lots of over time- great to earn extra money for the holidays or the vacation you have been dreaming of taking! This job can open professional doors for you!

 

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