Medical Post Billing Specialist

Orange, CA 92868

Employment Type: Temp-to-Hire Category: Healthcare Job Number: [SA] Medical Post Billing Specialist 4373471 Pay Rate: $15.00-$17.00

Post-bill Specialist

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. YOU MUST be knowledgeable in the life-cycle of a claim and the expectation of a variety of payers.

  • Sorts and responds timely and accurately to incoming insurance correspondence and inquiries
  • Contact with patients, as necessary to verify and obtain insurance information
  • Responds to all phone calls from other departments or insurance companies in an efficient and courteous manner
  • Updates patient accounts based on verified information from the patient/guarantor or other valid method
  • Prepares correspondence to payer as necessary
  • Utilize Passport and/or other methods of insurance verification as appropriate
  • Verifies eligibility and insurance benefits for old billing patients to ensure appropriateness
  • Research/calls on accounts and determine the nature of any problem in payment on the account when required
  • Know when to file appeal
  • Recognize and post denials
  • Review/work payer correspondence accordingly
  • Research payer specific information, online, in provider manuals, and by calling payers
  • Review claim for accuracy (as needed), must have a basic understanding of the Pre-bill functions (i.e. signature rules, ICD-9 coding, modifiers, etc.)
  • Navigate through Paperclip to locate supporting documentation that may be relative to the billing process (i.e. EMS Report, medical records, EOB, etc.)

IND1

  • Education: High school diploma or equivalent (GED) required 
  • Secondary school: Preferred Certification/Diploma from a course in Medical Billing and Coding
  • Minimum two years of: 3 years
  • Demonstrated ability to work well at all levels of the organization 
  • Solid understanding full cycle of a claim
  • Computer savvy: Microsoft Word and Microsoft Excel
  • Type 40 WPM

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).

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