A/R Specialist

If you are a Medical Biller looking for a high energy, fast-paced environment to build your career, you have found it! Our client is an innovative company with a vision to economize healthcare. Their mission is to deliver value to our customers through exceptional cloud-based technology, and services that provide the necessary connectivity, metrics and knowledge. Healthcare providers are able to optimize their business and financial operations, while advancing healthcare delivery and outcomes.

Summary:

Medical Billing Representative is responsible for order entry and error processing, prepares outstanding account reports and gathers credit and/or reference information. Representative reviews correspondence and resolves errors, may place calls or send messages to those with unresolved issues.

What you will be doing:

• Responsible for the collection, handling, and processing of all encounter charges for all sites
• Responsible for the monitoring and correction of red edits
• Responsible for reconciling tracking claims submission on balance sheet
• Liaison to Center Managers and CDE staff regarding charge errors identified during the review process
• Assign appropriate payor source for Medi-HMO and Insurance claims. Any new payor sources needing to be entered, a copy of information must be forwarded to Business Office Manager
• Approve claims and transmit claims according to weekly schedule. Claims submission lag time shall be no longer than 7 days from date of service
• Participate in Health Center/affiliate efforts to achieve established revenue cycle goals

What you need to be successful:

• High school diploma or equivalent required
• At least three (3) years experience as a medical biller
• At least one (1) year experience billing Medi-CAL managed care plans and various medical groups
• Complete understanding of medical billing coding, documentation, claim filing, appeals, payment posting, accounts receivable
• Knowledge with various payors Family PACT, Medi-CAL, Medi-HMOs, HMOs, IPAs, PPOs, POS, EPO, Medicare, etc.

Schedule: Monday -Friday, full-time

Pay: $25/hour