Join an award-winning medical group committed to quality, compassion, and community. This role supports accurate medical billing and coding, claim submission, authorization follow-up, and denial management for a clinic/medical group business office.
Responsibilities include:
- Submit claims to the appropriate intermediaries
- Ensure procedures and charges are coded in compliance with payer rules, including Medi-Cal and Medicare
- Obtain required authorizations for claim processing and payment
- Follow up on claims and manage denials through final resolution
- Identify diagnosis and procedure codes such as ICD-10, CPT, HCPCS, and DRG as they relate to reimbursement
- Communicate effectively with clients and staff by phone and in person
- Maintain productivity standards and reporting
- Update demographic and billing information as needed for government program requirements
- Use computer systems to enter follow-up notes and retrieve collection and patient information
- Maintain proficiency in medical terminology
Requirements & Qualifications
- Previous billing experience within a clinic or medical group business office required
- Previous experience with government programs and collections preferred
- Rural healthcare billing experience preferred
- Experience with EMR/practice management billing software required
- Knowledge of medical terminology
- Effective written and verbal communication skills
- Ability to prioritize tasks and meet deadlines
- Strong analytical and problem-solving skills
- Customer service experience required
- High school diploma or GED required
Benefits & Perks
- Competitive compensation
- Comprehensive benefits package
- Paid time off
- 401(k) retirement plan
- Medical, dental, and vision coverage
- Tuition reimbursement
- Additional voluntary benefit options
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago