Associate Medical Biller/Collector CMRS

DaMar Staffing; Winchester (CA); On-site; USD 45,000 - 65,000; Full time

Job summary

DaMar Staffing seeks a Healthcare Billing Specialist to ensure accurate and on-time submission of medical claims to insurance providers across diverse healthcare settings.

You will review patient billing data, work with EHR systems, follow up on denials, and communicate with providers, patients, and insurers while upholding HIPAA and confidentiality. This on-site role requires strong customer service, attention to detail, and the ability to prioritize in a fast-paced environment.

Qualifications

• Minimum 1 year of healthcare billing experience.
• Strong customer service and teamwork skills.
• Good written and verbal communication.
• Understanding of HIPAA and patient confidentiality.
• Experience using EHR systems to manage billing.
• Familiar with GE Centricity and SRS Caretracker.
• Knowledge of medical terminology.
• Ability to review and obtain missing billing details.
• High ethical standards and integrity.
• Proficient with email and internet research.

Responsibilities

• Maintain a safe and clean work environment, adhering to safety and infection control standards.
• Review patient billing information for accuracy and completeness, obtaining missing details as needed.
• Identify appropriate insurance parties to bill, including secondary and tertiary insurers.
• Utilize electronic health record (EHR) systems to perform billing tasks and maintain compliant medical records.
• Process claims and apply payments or credits accordingly.
• Verify insurance payments for accuracy and contract compliance.
• Investigate and resolve denied or partially paid claims by collaborating with involved parties.
• Manage assigned accounts to ensure timely payment of outstanding claims and follow up as necessary.
• Communicate effectively with healthcare providers, patients, and insurance representatives to clarify billing issues.
• Consult supervisors and team members to address billing and collection challenges.
• Follow established policies and procedures to maintain operational quality and elevate compliance concerns appropriately.
• Prepare reports and documentation as required.
• Perform administrative duties such as answering phones, faxing, filing confidential documents, and using email and internet tools.
• Deliver professional and courteous customer service to both internal and external stakeholders.
• Collaborate as a team member while meeting deadlines and productivity goals.

Skills

Healthcare billing

Customer service

Communication

Attention to detail

HIPAA compliance

EHR systems

Medical terminology

Teamwork

Education

High school diploma or equivalent

Associate's Degree preferred

CMRS certification

Tools

GE Centricity

SRS Caretracker

Job description

Position Overview

This role is responsible for the accurate and timely submission of medical claims to insurance providers across a variety of healthcare settings. The individual will ensure payments for medical services are received promptly and may act as a liaison between healthcare providers, patients, and insurance companies.

Key Responsibilities

• Maintain a safe and clean work environment, adhering to safety and infection control standards.


• Review patient billing information for accuracy and completeness, obtaining missing details as needed.


• Identify appropriate insurance parties to bill, including secondary and tertiary insurers.


• Utilize electronic health record (EHR) systems to perform billing tasks and maintain compliant medical records.


• Process claims and apply payments or credits accordingly.


• Verify insurance payments for accuracy and contract compliance.


• Investigate and resolve denied or partially paid claims by collaborating with involved parties.


• Manage assigned accounts to ensure timely payment of outstanding claims and follow up as necessary.


• Communicate effectively with healthcare providers, patients, and insurance representatives to clarify billing issues.


• Consult supervisors and team members to address billing and collection challenges.


• Follow established policies and procedures to maintain operational quality and elevate compliance concerns appropriately.


• Prepare reports and documentation as required.


• Perform administrative duties such as answering phones, faxing, filing confidential documents, and using email and internet tools.


• Deliver professional and courteous customer service to both internal and external stakeholders.


• Collaborate as a team member while meeting deadlines and productivity goals.

Qualifications

• Minimum of one year experience posting in a healthcare environment.


• Strong customer service skills with demonstrated leadership, teamwork, and cooperation.


• High ethical standards and professional integrity.


• Understanding of medical and surgical terminology.


• Knowledge and compliance with HIPAA regulations, maintaining strict confidentiality.


• Proficient with email, internet research, and payer websites.


• Preferred experience with billing software such as GE Centricity and SRS Caretracker.


• Excellent written, oral, and interpersonal communication skills; able to present ideas clearly and professionally.


• Highly self-motivated, detail-oriented, and able to prioritize tasks effectively in a fast-paced environment.


• Ability to interpret complex documents and respond appropriately to sensitive inquiries or complaints.

Education

• High school diploma or equivalent required.


• Associate's Degree in Business Administration preferred.

Certifications

• Certified Medical Reimbursement Specialist (CMRS) certification preferred.

All candidates must successfully complete a physical evaluation, drug screening, and background checks prior to employment. This position is based in a regional healthcare setting within the Pacific Southwest region of the United States.