Manage patient billing and insurance claims for a physician group or hospital setting. Ensure accurate coding, timely reimbursements, and clear communication between patients, insurers, and medical departments. This role is based at Knapp Medical Center in Weslaco, TX and works daytime hours.
Requirements & Qualifications
Education and experience
- High school diploma or GED required
- Previous billing experience within a hospital business office required
- Previous experience with government programs and collections preferred
Skills and knowledge
- Knowledge of medical terminology
- Effective written and verbal communication skills
- Ability to multitask and prioritize to meet required timelines
- Analytical and problem-solving skills
- Customer service experience required
- Familiarity with diagnosis and procedure codes such as ICD-9, CPT, HCPCS, and DRG
Responsibilities
- Submit claims to appropriate intermediaries
- Ensure procedures and charges are coded in compliance with payer and government program requirements, including Medi-Cal and/or Medicare
- Obtain required authorizations for claim processing and payment
- Perform follow-up and denial management for final resolution
- Update demographic and billing information as needed
- Maintain productivity standards and reports
- Use computer systems to enter follow-up notes and retrieve collection and patient information
Benefits & Perks
- Health, dental, and vision insurance options
- Paid vacation, sick time, and holidays
- Bereavement leave, FMLA, and other leave options
- Employer 401(k) options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Additional company benefits
Location
Texas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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