Medical Billing Specialist

GENERAL SUMMARY:

The Billing Specialist is responsible for medical coding, billing, accounts receivable, demographic entry, ICD-10/CPT coding, charge entry and receipt posting.

ESSENTIAL JOB DUTIES:

• ICD-10 diagnosis and CPT Coding of pathology reports.
• Certified Coding Specialist (CCS) from accredited program REQUIRED if coding. We will also accept CPC or other coding certificate with proper hospital and professional side coding experience.
• Handle a high volume of incoming customer service calls in a call-center type environment.
• Insurance eligibility and benefit verification.
• Demographic data entry.
• Post charges.
• Reconcile claims/accounts to complete resolution.
• Payment posting from both insurance and patient.
• Accounts receivable/follow-up.
• Monitor assigned accounts to ensure maximization of collection dollars.
• Meets or exceeds key performance indicators measuring productivity, quality, and service level as defined by management.
• Actively participates in team initiatives and in team status meetings.
• Other duties as assigned by supervisor.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge with CMS 1500 Billing Forms, EOBs, claims, coding and charges is required.
• Experience working with all types of insurance- Commercial, HMO, Medicare, Medicaid, etc.
• Ability to read and understand the information provided on EOB’s, remittance advices, and other insurance correspondence.
• Skilled Nursing Facility experience required.
• Knowledge of Advanced MD billing software is a plus.
• Ability to work as a group and independently with little supervision.

QUALIFICATIONS:

• Minimum of 2 or more years of healthcare related experience in billing and collections.
• ICD-9/10 and CPT coding knowledge.
• Must type 50 words or more per minute.
• Must have a positive demeanor and excellent verbal and written communication skills.

Skills/Experience Required:

• High School Diploma or GED Equivalent
• Minimum 1 year working in pathology, with emphasis on insurance and eligibility
• Experience with Microsoft Outlook and Excel
• Meticulous attention to detail with the ability to multi-task
• Ability to use discretion while working with sensitive information
• Excellent communication and customer service skills
• Experience with Advanced MD software preferred

Job Type: Full-time

Pay: $22.00 – $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

People with a criminal record are encouraged to apply

Experience:

• Billing: 2 years (Required)
• medical terminology: 2 years (Required)
• Medical coding: 2 years (Required)
• Skilled Nursing Facility: 1 year (Required)

Location:

• California (Required)

Work Location: Remote