Medical Biller

Healthcare Support Staffing; Boise (ID); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Referral bonuses up to $100.00 for each placement

Job summary

A healthcare staffing agency is seeking a Medi-Cal billing representative in Boise, ID. The candidate will handle billing and follow-up duties, including claims processing, information review, and coding. Ideally, the applicant has at least 2 years of medical billing experience and familiarity with Medi-Cal UB processes. Strong knowledge of insurance billing regulations is preferred. This role requires proactive problem-solving and communication skills, essential for effective claims management.

Qualifications

• 2 years of medical billing experience required.
• Medi-Cal UB experience is necessary.
• Healthcare experience preferred.
• Knowledge of insurance and governmental billing processes is strongly preferred.

Responsibilities

• Review, research, and process claims according to contracts.
• Maintain claims files and follow up on suspended claims.
• Prepare claims for return to provider if more information is needed.

Skills

Medi-Cal billing

Claims processing

Research and resolution

Job description

Job Description

California Medi-Cal billing rep position for Boise, ID.

• Medi-Cal billing, UB and/or 1500 claim billing
• The Medical Biller & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.
• The core responsibilities will include coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information is needed.
• Additional follow-up responsibilities include maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.

Qualifications

• 2 years of medical billing experience
• Medi-Call UB experience required
• Healthcare experience preferred
• Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.

Additional Information

If you are interested, please call, Kurt Hughes at 407-636-7030 ex. 202 and email your resume to me.

The greatest compliment to our business is a referral.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.