Medical Billing Specialist (Healthcare)
Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge. Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Fairfield, Elk Grove, Folsom, Yuba City and Chico. Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases. Join 240+ other team members working for our nationally recognized retina specialty practice in a fast paced, high volume medical office. This is an in office position, no remote work available.
The Account Representative teams are responsible for resolving all outstanding accounts receivable balances in a timely manner. They assist patients with billing questions, evaluate credit balances for refunds, respond to insurance payment denials and requests for additional information, files appeal, prepare demand letters, and the rebills of claims.
Responsibilities
Following-up on various accounts (Medicare, Medi-Cal, GMC, IPA, HMO, and PPO).
Ensuring payment according to Medicare or Payer Contract Agreements.
Working any claim denial and follow-up tasks per policy guidelines.
Interacting with patients face-to-face or via telephone regarding billing questions.
Requesting adjustments per policy guidelines when needed on an account.
Preparing payment agreements per policy guidelines.
Preparing refund requests per policy guidelines.
Completing 1st and 2nd level appeals on denied, unpaid or underpaid claims.
Attaching chart notes or referrals, if needed by claim.
Manage Eligibility and Authorization task.
Other duties as assigned.
