Medical Billing Specialist (Onsite)

Medix Healthcare

San Francisco, CA 94110

$26.00-$27.52 an hour - Full-time

Job Details

Salary

$26.00-$27.52 an hour

Job Type

Full-time

Qualifications

• 3-5+ Years of Medical Billing Experience
• EPIC-EHR Experience
• High School Diploma or Equivalent
• Strong understanding of the ins/outs of medical insurance carriers, working claims denials, and follow-up with payers on unresponsive claims

Full Job Description

Are you looking to join an organization that puts their patients first in all aspects of healthcare? We are looking to hire a "Full Cycle Billing Specialist" to join our main business office in support of our clinics within the Bay area. We specialize in providing the highest quality primary, specialty, and behavioral care for our diverse communities. Get your career started with us today by applying!

What we provide to you as a full-time teammate:

We offer a competitive benefits package that is on par with most of the leading healthcare organizations, along with a 401K plan. Apply today if you are interested in getting your name in the mix!

Essential Duties and Responsibilities:

As a Medical Billing Specialist, you will...

• Check, research and verify encounter data for accuracy and completeness; obtain any missing information from providers and other locations and/or requests corrected information as needed.
• Code information about procedures/diagnosis and keys charge information into the practice management system.
• Manually maintain a tracking system for non-computer-generated encounters.
• Identify and track EHR/Front-end data errors and report weekly to the manager.
• Assists with coding and error resolution - Conduct coding reviews with providers regarding coding guidelines.
• Identify and resolve patient billing complaints or inquiries via phone.
• Research, correct, and track denials and claim rejections.
• Appeals unpaid and denied claims as necessary.
• Monitor reimbursement of payers on a continuous basis and identify changes in reimbursement patterns.
• Perform collections on outstanding accounts by contacting patients and other third-party payers by phone and written correspondence.
• Follow and report status of delinquent accounts.
• Conduct periodic medical record audits to ensure documentation is consistent with billing.
• Oversee claim submission to third-party payers; Processes and posts payments from payers.
• Prepare daily batches for upload/posting, and perform daily reconciliation to ensure all claims and payments are submitted and posted.
• Monitor charges for correct payment of claims and capitation deductions.
• Research and resolve claim, payment, and capitation problems.
• Process paper claims, including secondary insurance as necessary.

Expectations of Performance: The employee in this role shall be considered to be performing in an acceptable manner when carrying out the Core Values:

• Reliable
• Team Player
• Adaptable
• Positive Attitude

Education and/or Experience:

• 3-5+ Years of Medical Billing Experience
• EPIC-EHR Experience
• High School Diploma or Equivalent
• Strong understanding of the ins/outs of medical insurance carriers, working claims denials, and follow-up with payers on unresponsive claims

Computer Skills: EMR Software System, NextGen

Job Type: Full-time

Pay: $26.00-$27.52 an hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• M-F, 8am-5pm

Experience:

• 3-5+ Years of Medical Billing Experience
• EPIC-EHR Experience
• High School Diploma or Equivalent
• Strong understanding of the ins/outs of medical insurance carriers, working claims denials, and follow-up with payers on unresponsive claims