AMAZING OPPORTUNITY IN TO JOIN A THRIVING MEDICAL NETWORK!

WE WANT YOU ON OUR TEAM! Submit a resume now if you have these credentials:

• Certificate of completion of Billing and/or coding preferred
• Two years of Medical Billing/Coding experience

Connect to a career you can build from as an Billing and Coding Reimbursement Specialist!

What you will do:

The Reimbursement Specialist is responsible for the complete revenue cycle including billing medical, dental and/or hospital claims. They are responsible for the follow-up performed on insurance balances to ensure reimbursement is accurate and received timely. They are also responsible for the self-pay collections after insurance.

Essential Functions of the Job:

• Adheres to established departmental and facility policy and procedures, objectives, quality assurance programs, safety and infection control standards.
• Prepares accounts and encounters for accuracy for billing. Prepare, review, and transmit claims using automated systems and manual paper claim process.
• Provides any required attachments to third party claims including authorizations and EOB'S to ensure timely payment for the third party payer.
• Changes system financial settings once primary insurance has paid to insure that co-payments and deductibles are generated to guarantors.
• Identify and bill secondary payers.
• Ensures accurate calculation of disallowances and adjustments through analysis of SYHealth contracts, Medicare and Medi-Cal reimbursement schedules and rates.
• Performs adjustment write off(s) keying and posting via computer input after obtaining approval signatures if required.
• Performs timely follow up and appeals on unpaid claims using the system work list and or Remittance Advices, EOBs, and other payment documents.
• Documents all analysis findings, phone calls and correspondence in the online practice management system.
• Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
• Must maintain assigned Accounts Receivable at or below goal on a consistent basis.
• The Reimbursement Specialist is required to compose professional written correspondence with all internal & external entities.
• Attends meeting and training classes as required by departmental or facility management.
• Will be called upon to perform special projects and participate in internal and external audits that may require some evening and weekend hours.

Job Type: Full-time

Pay: $20.00 - $26.62 per hour

Benefits:

• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• San Ysidro, CA: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical Billing & Coding: 2 years (Required)

Work Location: One location

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