We are seeking a detail-oriented Medical Biller/AR Specialist to join our dynamic team. As a Medical Biller/Specialist, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
This position does not support job relocation. This is 100% onsite in Irvine, CA.
You must be able to work for any employer in the USA.
Responsibilities include reviewing a high volume of claims to ensure they meet billing guidelines; submitting electronic claims accurately and timely; submitting claims to secondary insurance with supporting documents; reviewing EOB denials and underpayments to determine the best course of action including resubmission or appeals; performing follow-ups and obtaining claims status through insurance portals and phone; verifying benefits and obtaining authorizations when required; maintaining productivity and quality levels set by management; and adhering to all HIPAA and PHI guidelines.
- Knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers
- Experience with commercial insurance, Medicare, and Medi-Cal
- Knowledge of EOBs and ERAs
- Excellent communication and analytical skills
- Attention to detail and strong organizational skills
- Toxicology billing experience is a plus
- Medical billing certification is a plus
- Coding experience is a plus
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Location
Irvine, California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago