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Medical Billing Specialist - AR and Charge Entry

Posted 3 months ago
2-5 years experience
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AI Summary

The Medical Billing Specialist will manage aging claims, perform daily billing and follow-up activities, and resolve denials from insurance carriers. They are also responsible for presenting billing trends to supervisors and assisting with patient inquiries while maintaining productivity standards.

Position Summary:

We are currently seeking a detail-oriented, energetic, and focused Medical Biller, specializing in AR & Charge Entry. The ideal candidate is a high achiever committed to their career and demonstrates exceptional capability and commitment in handling complex billing tasks in a high-volume, fast-paced work environment.

About the Client:

Our client is a large physician-owned, physician-directed, and patient-centered organization. Their goals are to provide high-quality, cost-effective, integrated, healthcare and physician services. To preserve community-based independent physician practice locations throughout California. With this client, the practices are closer and more connected to the people and neighborhoods they serve. With a more personal touch to healthcare and easier access to the care they need, they help guide patients to the best possible outcome.

Job Details:

  • Monday to Friday | 11:00 PM to 8:00 AM Manila Time
  • Permanent Work from home

Responsibilities:

  • Work all aging claims from Work Ques or Aging reports
  • Perform the day-to-day billing and follow-up activities within the revenue operations
  • Present trends or issues to the supervisor, and work together to make improvements
  • Resolve denials or correspondences from patients and insurance carriers
  • Assist in patient calls and questions
  • Follow team and company policies
  • Meet productivity standards
  • Write clear and concise appeal letters
  • Must follow BASS company policies, procedures, and workflow.
    • Meeting productivity requirements and attendance.
  • Will be following the 6-month probationary period
  • Perform other duties as assigned by management.

Qualifications:

  • At least 3 years of Medical Billing- AR and Charge Entry experience in the US Healthcare Industry, specifically in the fields: Oncology and Infusion Services.
  • EPIC software experience
  • Understanding of EOBs, copays, deductibles, various Insurance plans, secondary insurances, Medicare, Medi Cal, contract adjustments
  • Knowledge of modifiers, diagnosis, and CPT codes
  • Knowledge of payers’ policies and rules
  • Superior phone communication skills with providers, carriers, patients, and employees
  • Exceptional written and verbal communication skills
  • Knowledge of modifiers, insurance plans, and follow-up techniques
  • Proficiency with Microsoft Office applications
  • Ability to work in a fast-paced, high-volume work environment
  • Basic typing skills, 40+ wpm.
  • Strong attention to detail
  • Positive attitude
  • Great attendance and punctuality

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