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American Family Care Ladera Ranch is Hiring a Medical Billing Specialist Near Ladera Ranch, CA
- Great small business work environment
- Flexible scheduling
- Paid vacation, health insurance, dental insurance, retirement benefit, and more!
American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.
AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises.
Candidates Must Have:
- At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up
- Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them
- Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred
- Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required.
- A patient-first, mission-oriented mindset
- Organize and prioritize all incoming claims and denials.
- Evaluate medical claims and coverage policy documentation to determine validity for an appeal.
- Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers.
- Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards.
- Work accounts to resolution.
- Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues.
- Work independently to identify and resolve complex client problems.
- Work with leadership to develop appropriate policies and procedures.
- Maintain current knowledge of healthcare billing laws, rules and regulations, and developments.
- Comply with all applicable HIPAA policies and procedures and maintain confidentiality.
Job Summary
Full Time
$46k-54k (estimate)
06/06/2024
06/22/2024
The following is the career advancement route for Medical Billing Specialist positions, which can be used as a reference in future career path planning. As a Medical Billing Specialist, it can be promoted into senior positions as a Medical Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Billing Specialist. You can explore the career advancement for a Medical Billing Specialist below and select your interested title to get hiring information.
