Medical Biller/Collector
361 Hospital Rd. , Suite 521 Newport Beach, CA 92663 US
Job Description
Description:
We are seeking an experienced Medical Biller/Collector to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.
Duties:
- Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
- Follow up with payers (HMO, PPO, Medicare, Medi-Cal, TriCare, Work Comp) on unpaid or denied claims and resubmit as necessary.
- Process payments from insurance companies and patients.
- Maintain accurate and up-to-date patient billing records.
- Answer patient inquiries regarding billing and insurance coverage.
- Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
- Write and submit appeals to insurance companies, as needed.
- Minimum of 2 years of experience in medical revenue cycle management, including collections experience.
- MUST have experience using NextGen EHR.
- Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
- Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
- Expertise with HMO, Medi-Cal, or Medicare is a plus.
Note: This is not an entry-level position. Prior experience in medical billing/collections is required.
Schedule: Monday to Friday; flexible hours (7:00 am - 3:30 pm, 7:30 am - 4:00 pm, or 8:00 am - 4:30 pm)
Benefits:
- Health insurance coverage
- Retirement plan options with match
- Generous Paid Time Off (PTO) and paid holidays
Meet Your Recruiter
Anthony Nguyen
Recruiter, Marquee Healthcare Division
As a Marquee Staffing Healthcare Recruiter, Anthony brings a wealth of knowledge and experience having previously worked with placing Healthcare professional in high pace roles.
He has gained the knowledge and experience in searching for the perfect candidates for each one of his clients; as well as maintaining a healthy relationship with his clients by constant follow-ups to answer any questions, concerns, or issues have been addressed and corrected. He believes that communication is the key to success in every healthy relationship.
Outside of work, Anthony enjoys uncovering new restaurants, trying various cuisines and hosting dinner gatherings with his friends and family. He’s a big advocate for being active and enjoys outdoor activities such as pickleball, table tennis, billiards, basketball, bowling, darts, and fishing. But now and then, he does appreciate some R&R by just binging some series with his wife and cat at home.