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Medical Biller

CADE MEDICAL Temecula, CA
  • Posted: over a month ago
  • $15 to $17 Hourly
  • Full-Time

Seeking a Medical Biller Responsible for Timely Submission of Technical or Professional Medical Claims to Insurance Companies.

Job Duties for Medical Biller

  • Obtaining referrals and pre-authorizations as required for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies).
  • Checking eligibility and benefits verification for DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies)
  • Reviewing patient bills for accuracy and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle time-frame.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.

Knowledge, Skills, and Abilities

Proficiency in the following areas is preferred:

  • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid and other payer requirements.
  • Competent use of computer systems, EMR software
  • Familiarity with HCPC and ICD-10 Coding.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process.
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Ability to multitask.

Minimum Requirement

  • A high school diploma
  • A minimum of two years of experience in a medical office setting.

CADE MEDICAL

Why Work Here?

This company has an awesome and challenging, team oriented work environment. We are a young, and rapidly growing business.

Address

Via Industria, Temecula
Temecula, CA
USA

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