Hybrid Physician Billing Specialist: Claims & Denials

MemorialCare Health System; Fountain Valley (CA); Hybrid; USD 31,000 - 43,000; Full time

Job summary

MemorialCare Medical Foundation is seeking a Physician Billing Specialist to manage daily claims processing and payer communications in Fountain Valley. The role requires familiarity with CPT and ICD-10 codes and attention to denial management within a hybrid day schedule.

The position offers full-time hours, a hybrid work arrangement, and opportunities for additional compensation such as shift incentives and bonuses. Benefits and wellness programs support employees and their families.

Qualifications

• 2+ years in patient account billing/collections.
• General computer skills and ability to learn new applications.
• Knowledge of medical terminology and ICD9 coding.
• Familiarity with legal aspects of patient/insurance collections.

Responsibilities

• Review daily tasks using assigned applications.
• Contact insurance payers regarding claims status and payments.
• Respond to inquiries in a professional, timely manner; rebill as needed.
• Audit accounts for corrections and update insurance information.
• Identify denial trends and report to management.
• Perform other duties as assigned by management.

Skills

Patient accounts billing

Communication skills

Typing 40 WPM

Legal aspects of collections

ICD-9 coding knowledge

Education

High school diploma

Certificate of Insurance Billing

Job description

MemorialCare Medical Foundation is seeking a Physician Billing Specialist to manage daily claims processing and payer communications in Fountain Valley. The role requires familiarity with CPT and ICD-10 codes and attention to denial management within a hybrid day schedule.

The position offers full-time hours, a hybrid work arrangement, and opportunities for additional compensation such as shift incentives and bonuses. Benefits and wellness programs support employees and their families.