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Medical Biller  

JOB DESCRIPTION:
Summary: Follow up on medical claims; answer clinic related questions pertaining to charges, answer patient questions related to bills, review claims for completeness, check billings for information and correctness, send appeals. Outbound calls to insurance carriers. The Medi-Cal/CCS Medical Biller performs a variety of clerical duties related to preparing, processing and reviewing medical bills for covered expenses to private and government insurance agencies and other third party payers. The Biller is responsible for contacting payer sources for follow-up and disposition of accounts, as well as ensuring that billings are processed in an accurate and timely manner.

RESPONSIBILITIES:
Essential Duties: Processing and reviewing medical bills for covered expenses to private and gov't insurance and other third party payers Reviews claims for completeness of information and required documents; checks billings information and charges for correctness; types bills as necessary to include pertinent information, adjustments, late charges, and other related data. Bills for appropriate payments by following prescribed procedures. Requests documentation from clinics, as appropriate. Well versed in collecting and billing of governmental programs. Imperative that candidate has full knowledge of governmental collection regulations and guidelines. Makes adjustments or corrections on claims that were denied due to missing information or change in patient status; retypes bills as necessary or resubmits claims to appropriate personnel for follow-up activities. Maintains effective filing system of pending patient folders, billed accounts and other related materials. Checks billing information claims. Ensures that claims are complete and accurate, and have the appropriate attachments. Corrects claims as necessary Notes any further action needed prior to claim being mailed (e.g., requesting reports from clinic, charge ticket from Data Processing, etc.), Receives referrals from Account Representatives and follows on appropriate action. Perform follow-up calls and written correspondence to patients and payers as needed.

REQUIREMENTS:
Qualifications: 3+years of clinical billing EMR Knowledge *Prefer Bilingual*** Handle multiple tasks simultaneously Possess analytical skills and organizational skills About 3 years or clinical billing experience in healthcare field Electronic medical records exposure Medicaid/Medicare/familypac billing requirements

DESIRED SKILLS:

SALARY:
DOE 

 

This exciting opportunity is available for hire immediately!!!!

Contact Email: resumes@newleafstaff.com
Phone: (800) 758-1427
Company: New Leaf Staffing
Job Status:  Full Time, Employee

 

 

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