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Medical Biller

Santa Ana, CA

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Description

IMMEDIATE START for a Medical Biller! TEMPORARY assignment located in Santa Ana! Hours are 8:30am- 5:00pm, hourly pay rate of $20.00. APPLY TODAY with RemX Specialty Staffing!

You will be responsible for the claims cycle related to behavioral health and follow up with patients insurance to ensure accurate reimbursement/payment of all claims.

Medical Biller Duites:

  • Submit billing to insurance providers
  • Ensure clean and accurate claims billing
  • Communicate with partner departments (verbally and/or written) to obtain missing information to properly adjudicate claims, such as provider numbers, authorizations and referrals.
  • Review, research and continued follow-up on primary, and supplemental insurance payment denials and/or inquiries made on clients’ accounts as directed.
  • Review EOB and initiate appeals.
  • Reply to requests for additional information or documentation on claims.
  • Obtain additional information and/or clarification on denied claims.
  • Post payments and adjustments (FFS) if needed
  • Follow up on unpaid claim statuses (CAP/FFS)
  • Process CAP/HW Contracts A/R encounter preparation and submission to Office Ally (ensure all claims are accurately transmitted within established timelines to various clearinghouse vendors) Also update the portal
  • Monitor accounts for potential write-off; prepare required Credit and Bad Debt write off requests and route for appropriate approvals (FFS/CAP)
  • Organize, research and prepare appeals
  • Correspondence and appeal denials done in a timely manner with pro-active follow-up on appeals in process
  • Contribute to team and department standards for quality and production
  • Monitor pending claims adjustments daily and ensure claims are released timely for adjudication
  • Participate in identifying opportunities for overall process improvements
  • Comply with department and company guidelines, policies and deadlines

 

Job Requirements

Medical Biller Requirements:

  • Experience in Medical Billing
  • Able to learn company's software
  • Detailed and organized
  • Able to prioritize work load
  • Can start ASAP, commit to temporary assignment
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