Job Description
We have hired two new providers and need great staff to match the volume.
Job Summary:
We are a high volume Multi-Specialty clinic located in Lancaster, CA. We are looking for a Medical Biller/AR specialist who has excellent communication skills and superb attention to detail to join our Team.
Must have previous experience in all the following areas:
- Investigate and resolve insurance denials in a professional and timely manner within contractual time limits.
- Have a clear understanding of the differences in medical necessity appeals and claim appeals.
- Works appeal from beginning-to-end, which includes tracking, monitoring, documenting and resolving.
- Responds to insurance denials and requests for additional information with minimal direction.
- Responsible for interface with management and providers as required regarding status, process and outcomes of appeals.
- Prepares all appeal written documentation.
- Documents all appeals in an accurate and timely manner per policy, related follow-up activities and final outcomes in designated systems while concurrently maintaining secure, comprehensive and clearly defined files.
- Read and comprehend appeal and grievance correspondences and reach out to appellant and or griever to obtain additional information as needed.
- Performs daily activities such as:
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- Works accounts receivable for insurance on a daily basis
- Correct and re-bill denied insurance claims
- Researching return mail from insurance carriers, correct and re-sending mail
- Research and appeal denied claims
- Performs thorough benefit investigation
- Work claims and claim denials to ensure maximum reimbursement for services rendered
- Research and resolve insurance refund requests and retractions
- Assist with patient inquires regarding their insurance balance
- Always maintain a professional attitude and appearance via in person or phone. Notify supervisor immediately with any problems.
Additional responsibilities: Assist other employees with any additional work when idleKnowledge, Skills and Abilities ICD-10/CPT knowledge.Physical Requirements: Ability to stand, sit, walk, bend and stoop for prolonged periods of time, intermittently throughout an 8 hour shift.Education and Experience: Minimum of 2 years medical Billing experience required.
- Performs work of equal skill, effort and responsibility as directed
- May perform work of a higher level in preparation for increased responsibility
- Must be willing to perform any duties asked by management or physicians
- Cross trained to fill in other positions when short staffed
- Knowledge of medical terminology & medical insurance.
- Ability to type accurately and comfortable with computers.
- Become a key contributor to the enhancement of the quality of patient care as a necessary part of a medical team.
- Understand and observe legal concepts (e.g. HIPAA, confidentiality).
- Multi-task efficiently and effectively as required.
- Work under pressure, within time constraints.
- Must be able to act calmly and effectively in a busy or stressful situation.
Job Type: Full-time
Pay: $19.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience level:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Supplemental pay types:
Experience:
- ICD-10: 1 year (Required)
- Medical Billers & Coders: 5 years (Required)
Work Location: In person