Medical Biller

Claims Specialist

Job Description

POSITION SUMMARY:

Under the direction of the Billing Director this individual is responsible for follow-up and resubmission of

rejected billing claims that have been submitted to health insurances for payment.

ESSENTIAL FUNCTIONS:

1. Follow up on billing claims from insurances that have been rejected.

2. Works with payers to determine reasons for denials, corrects and reprocesses claims for payment

in a timely manner.

3. Track and resolve discrepancies related to non-payment.

4. Collect required information to have re-process or appeal claim.

5. Make calls, correct and fax claims and document in appropriate account ledgers.

6. Respond and participate to inquiries regarding billing issues both on the phone and in person.

7. Collect payments appropriately for all medical, BHS, dental, lab and classes.

8. Responsible for filing and maintaining billing files.

9. Maintains confidentiality in all matters.

10. Participates in quality improvement activities.

ADDITIONAL RESPONSIBILITIES:

1. Attend staff trainings and meetings as required.

2. Learn and implement electronic health records and billing functions as they continue to evolve.

3. Assist with a variety of duties in order to meet the needs of the department on an as needed

basis.

4. Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

The requirements listed below are representative of the knowledge, skill and/or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

functions:

1. Ability to communicate clearly and concisely.

2. High attention to detail.

3. Knowledge of ICD-10/CPT coding.

4. Human relations skills to deal effectively with patients, clients, staff and Board members,

community members, and visitors in a professional and courteous manner.

5. Ability to work independently and productively.

6. Demonstrate awareness, sensitivity, and appreciation of Indian culture, traditions, customs, and

socioeconomic needs.

7. Knowledge of all confidentiality requirements as outlined in the Corporate Compliance Plan.

8. Ability to maintain a professional attitude and appearance at all times.

9. Ability to meet deadlines and assigned projects in a timely, efficient manner.

10. Ability to make mathematical calculations quickly and accurately.

11. Ability to use a variety of equipment and computer systems necessary to perform duties.

EDUCATION AND EXPERIENCE:

1. High School graduate or equivalent.

2. Three (3) years’ documented experience working medical accounts receivable.

3. Working knowledge of insurance carriers’ payment regulations including various reimbursement

processes, co-insurance and deductibles, and contractual adjustments.

About Anderson & Associates Recruitment and Staffing

We are proud to be an equal opportunity employer.

Share Job

Job Summary

  • Job ID

    896224

  • Category

    Healthcare

  • Location

    Oroville, CA

  • Order Type

    TEMP

  • Contact Phone

    (530) 891-1955

Similar Jobs

© 2018 People 2.0 Global, Inc.
v2018.1.04.0