Hybrid Government Billing Specialist II

Hemet Global Medical Center; Santa Ana (CA); Hybrid; USD 36,000 - 50,000; Full time

Job summary

Hemet Global Medical Center in Santa Ana, CA seeks a Government Specialist II to handle government payer claims submission, follow-up on unpaid accounts, and charge/billing accuracy within a hybrid work model.

The role requires 2 years in a medical office setting, knowledge of CPT/HCPCS/HIPAA, and experience with billing systems. Strong attention to detail and timely processing are essential for success.

Qualifications

• 2 years of experience in a medical office or hospital setting.
• Some college preferred.
• Knowledge of CPT, HCPCS, HIPAA, and regulatory issues. (experience directed)

Responsibilities

• Claims submission using billing editor; submits primary/secondary claims.
• Follow-up on unpaid or partially paid accounts; review EOBs and payer communications.
• Identify accurate reimbursement amounts and post adjustments as needed.
• Identify and process refund requests for over-payments to payers.
• Address coding/charging errors and coordinate corrections with the appropriate department.

Skills

CPT Knowledge

HCPCS Knowledge

HIPAA Compliance

Billing software

Education

Some college

Tools

Billing software

Job description

Hemet Global Medical Center in Santa Ana, CA seeks a Government Specialist II to handle government payer claims submission, follow-up on unpaid accounts, and charge/billing accuracy within a hybrid work model.

The role requires 2 years in a medical office setting, knowledge of CPT/HCPCS/HIPAA, and experience with billing systems. Strong attention to detail and timely processing are essential for success.