Job Title : Medical Billing Specialist

Location : Livermore, CA

Shift : : AM - PM

Pay : $- / hr

Job Description :

• Follow work list prioritization of accounts as established by department policies and procedures.
• Responsible for all aspects of follow up on accounts, including contacting payers and patients when necessary and accessing payer websites.
• Accurately document accounts collection notes.
• Responsible for processing appeals and researching of claims.
• Follow specific payer guidelines for appeals submission.
• Prioritize and manage accounts to resolve high priority-high dollar accounts and aging.
• Complete AR adjustments where appropriate.
• Demonstrates knowledge of government payers guidelines (Medicare / Medicaid).
• Comply with adhere to all regulatory compliance areas, policies, and procedures (including HIPPAA and PCI compliance requirements).
• Regular attendance and punctuality.
• Performs any other function as required by management.

Key Results :

• Represents Company and team in a professional and positive manner.
• Meet and exceed daily and monthly production goal.
• Effective communications with staff and management.
• Demonstrates basic understanding of billing system; able to complete basic tasks based on job function.
• Adapts to changing business needs, conditions, work responsibilities.
• Able to toggle between computer screens.
• Exhibit competency in the utilization of computers, telephones, calculators, fax machines and devices-level of competency %.
• Working Denials in a timely manner that results in cash collection goals.
• Detailed oriented, careful and with a focus on quality in accomplishing tasks.
• Issues identified and resolved within an average of hours.

Education / Basic qualifications :

• High school diploma or GED required
• Associate degree preferred
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Excellent computer proficiency (MS Office Word, Excel and Outlook)
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
• Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
Less than 1 hour ago