Medical Billing Specialist

Medical Office located in Walnut Creek, CA is looking to hire a full-time Billing Specialist

Major Duties and Responsibilities:

Handle insurance claims, patient payments, correspondence, appeals, and aging.

Example of Duties: This list may not include all the duties assigned

· Responsible for billing, collections, and reimbursement for specific patient accounts.

· Monitor monthly aging reports and conduct follow-up on unpaid claims, taking appropriate action to correct and re-bill for reimbursement.

· Perform overall revenue management including: satisfying timely filing requirements, maximizing billing revenue and collections, and resolution of denied/rejected claims.

· Work closely with EPIC to identify and work to resolve systemic issues.

· Perform regular audits of daily billing reports to identify coding and billing errors.

· Review claims for errors and make corrections as necessary.

· Appeal claims which are incorrectly processed for additional benefits. Review EOBs, prepare and send new appeals for recently denied/down-coded services.

· Prepare and send tracers on unanswered appeals and make phone calls to insurance companies in follow-up.

· Identify, follow, and resolve patient billing complaints and notify the patient or responsible party of the outcome.

· Process incoming insurance payment and correspondence. Handle claims suspended for further information; claims rejected for incorrect subscriber information. Billing patients for deductibles or non-covered items.

· Process incoming correspondence regarding balance due and updated insurance information.

· Review each account on the status aging report. Send collection letters and contact patients with overdue accounts. If no response, present account for collections to the Billing Manager for collection decision. Process collection and bad debt adjustments.

· Work with the Billing Manager on special projects.

· Attend billing office meetings as required.

· Engage in educational activities and seminars.

· Perform related tasks and assignments as assigned.

QUALIFICATIONS

The ideal candidate will possess:

· Minimum 2 years of EPIC billing experience in healthcare office required

· Knowledge of Medical Terminology, ICD-10 and CPT coding

· Working knowledge of EPIC EMR

· Workers Compensation billing experience a plus

· Reliable

· Candidate must have the ability to work with deadlines in a high-volume practice

· Calm professional manner; self-motivated

· Quick and accurate keyboarding skills

· Proficiency in Microsoft Office (primarily Word and Excel) is required

· Knowledge of Medicare Regulations and Billing Guidelines

· Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines

· High school diploma or GED

We offer a competitive benefits package (after 90 days) including:

• Paid Time Off
• Paid Holidays
• Medical, Dental plans
• 401K
• Job Type: Full-time

Job Type: Full-time

Pay: From $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• How many years of experience do you have in MEDICAL billing and coding?
• How many years of experience do you have in billing and coding using EPIC EHR?

Work Location: In person

Salary : $25