Job Overview

Our client is looking for a Medical Billing Specialist with strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and a proven track record working in a healthcare practice environment in accounts receivable.

Schedule: Monday - Friday, 9:00 AM - 5:00 PM California time, with 1 hour unpaid break (40 work hours per week)

Responsibilities

• Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
• Analyze excel spreadsheets and raw data.
• Denial management process.
• Telephone insurance carrier/patient to seek resolution on accounts.
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from the payer.
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
• Negotiate within specified guidelines with payers.
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
• Follow up with appropriate staff to locate missing information.
• Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
• Maintain necessary logs.
• Participate in departmental meetings as necessary.

Requirements

• Experience managing the full medical billing cycle for a medical practice, preferably supporting 1–3 providers.
• Experience handling end-to-end revenue cycle management.
• Knowledge of insurance policies, including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Familiarity with medical terminology and experience with healthcare billing.
• Proficiency in medical billing software.
• Strong attention to detail and commitment to accuracy.
• Professional communication and problem-solving skills.
• High school diploma; certification in medical billing or a related field is a plus.
• MUST HAVE A WINDOWS OS COMPUTER
• Own computer and reliable internet connection

Independent Contractor Perks

• Health Insurance Coverage for eligible locations
• Permanent work from home
• Immediate hiring

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

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