Medical Biller

Location: Los Angeles, CA
Date Posted: 09-10-2018
CareNational
Medical Biller – Managed Care
Los Angeles, CA (Eastern Suburb, near Monterey Park)
 
**Full-Time, Benefits Available CONTRACT opportunity, expected to last around 3-4 months! **
 
Medical Biller Job Summary: 
  • As needed, processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity.
  • Coordinates with other staff members and physician office staff as necessary ensure correct processing.
  • As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payer remits, facility contracts, payer customer service, provider representatives, spreadsheets and internal collection/self-pay policies to ensure maximum reimbursement.
  • If needed, researches payments, denials and/or accounts to determine short payments or over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appropriate appeals and corrections as necessary.
  • Builds strong working relationships with assigned business units, hospital departments or provider offices.
  • ​Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems.
  • Provides assistance and excellent customer service to internal and external clients.
  • Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues.
  • Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.
  • Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts, ultimately seeking to reduce Accounts Receivable balances.
  • Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payers accurately.
Medical Biller Background:  
  • Requires an education level of at least a high school diploma or GED.
  • At least 1-2 years’ healthcare support experience, preferably in a Hospital Central Business Office, or other provider office setting.
    Requires knowledge of patient financial services, financial, collecting services, or insurance industry processes.
  • Knowledge of health care delivery system, Medicaid/Medicare and related state programs is a significant plus.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Must test at a minimum of 35-40 wpm typing with a high level of accuracy.
  • Basic computer literacy (MS Office) and typing skills are necessary.
  • Bilingual in English and Spanish is preferred.
 
 
  #ADMIN
 
KAYLA ROGERS
ACCOUNT MANAGER
CareNational
kayla@carenational.com
623.201.8732 (CALL – TEXT – FAX)
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